MEDICARE: TONYA SCHROUGHAM LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39005993A	IN

General Provider Information

NPI Number	:	1053248831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYA SCHROUGHAM LMHC

Provider Business Mailing Address
First Line	:	111 E HIGH ST
Second Line	:
City	:	MOORESVILLE
State	:	IN
Zip	:	46158-1637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 N INDIANA ST
Second Line	:
City	:	MOORESVILLE
State	:	IN
Zip	:	46158-1215
Country	:	US
Telephone Number	:	317-517-8674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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