MEDICARE: TONYA SCHAAN LPC, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LAC5172	LA
2	101YM0800X	Mental Health Counselor	LPC9819	LA
3	171M00000X	Case Manager/Care Coordinator	LPC9819	LA

General Provider Information

NPI Number	:	1922881531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA SCHAAN LPC, LAC

Provider Business Mailing Address
First Line	:	3007 KNIGHT ST
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2538
Country	:	US
Telephone Number	:	318-771-5438
Fax Number	:

Provider Business Practice Location Address
First Line	:	3007 KNIGHT ST STE 300B
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2538
Country	:	US
Telephone Number	:	318-771-5438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	09/25/2025

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