MEDICARE: APRIL M SCHUETHS LLC

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	251S00000X	Community/Behavioral Health Agency	CSW004332	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1225234057	OTHER	GA	ISSUED IN STATE OF NEBRASKA

General Provider Information

NPI Number	:	1245682558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIL M SCHUETHS LLC

Provider Business Mailing Address
First Line	:	114 N COLLEGE ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5309
Country	:	US
Telephone Number	:	912-266-8830
Fax Number	:

Provider Business Practice Location Address
First Line	:	114 N COLLEGE ST
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-5309
Country	:	US
Telephone Number	:	912-266-8830
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MENTAL HEALTH THERAPIST
Name	:	APRIL MICHELLE SCHUETHS
Credential	:	LCSW
Telephone Number	:	912-266-8830

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	07/11/2016

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Directions to “APRIL M SCHUETHS LLC ” Practice Location

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