Healthcare Provider Details

I. General information

NPI: 1063474708
Provider Name (Legal Business Name): SCHLOEMER SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GARDINER LN SUITE 314
LOUISVILLE KY
40205-2949
US

IV. Provider business mailing address

2100 GARDINER LN SUITE 314
LOUISVILLE KY
40205-2949
US

V. Phone/Fax

Practice location:
  • Phone: 502-640-7533
  • Fax: 502-473-1957
Mailing address:
  • Phone: 502-640-7533
  • Fax: 502-473-1957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT0095
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCADC0408
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW0307
License Number StateKY

VIII. Authorized Official

Name: DR. LEWIS FRED SCHLOEMER
Title or Position: PRESIDENT CEO
Credential: EDD LCSW
Phone: 502-640-7533