Healthcare Provider Details

I. General information

NPI: 1760391908
Provider Name (Legal Business Name): SABRINA MAE SCHROEDER LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 IMPERIAL DR
WACO TX
76712-6805
US

IV. Provider business mailing address

6400 IMPERIAL DR
WACO TX
76712-6804
US

V. Phone/Fax

Practice location:
  • Phone: 254-867-6550
  • Fax:
Mailing address:
  • Phone: 254-752-3451
  • Fax: 254-752-7421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16290
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: