Healthcare Provider Details

I. General information

NPI: 1265839609
Provider Name (Legal Business Name): MONIQUE SCHOFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONIQUE HUBANKS

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 04/27/2025
Certification Date: 04/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 HOSPITAL LN
SUSANVILLE CA
96130-4808
US

IV. Provider business mailing address

1924 W STEVENS ST STE 202
BOZEMAN MT
59718-7043
US

V. Phone/Fax

Practice location:
  • Phone: 530-251-8108
  • Fax: 530-251-8394
Mailing address:
  • Phone: 406-595-3746
  • Fax: 406-578-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: