Healthcare Provider Details

I. General information

NPI: 1720446982
Provider Name (Legal Business Name): CARLANA F SCHOONOVER LPCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLY NICELEY

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1786 MOON LAKE BLVD STE 104
HOFFMAN ESTATES IL
60169-1016
US

IV. Provider business mailing address

1786 MOON LAKE BLVD STE 104
HOFFMAN ESTATES IL
60169-1016
US

V. Phone/Fax

Practice location:
  • Phone: 847-755-8090
  • Fax: 847-843-7393
Mailing address:
  • Phone: 847-755-8090
  • Fax: 847-843-7393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.010457
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180-010616
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: