Healthcare Provider Details
I. General information
NPI: 1568399624
Provider Name (Legal Business Name): ELEANOR SCHOEPF LACMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1305 KIRKWOOD HWY
WILMINGTON DE
19805-2121
US
IV. Provider business mailing address
1305 KIRKWOOD HWY
WILMINGTON DE
19805-2121
US
V. Phone/Fax
- Phone: 302-440-6737
- Fax:
- Phone: 302-440-6737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | AC-0010521 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: