MEDICARE: MRS. MELISSA LEE SCHOECK LMFT

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	106H00000X	Marriage & Family Therapist	0586	KY

General Provider Information

NPI Number	:	1548425457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA LEE SCHOECK LMFT

Provider Business Mailing Address
First Line	:	1721 US 31W BYP
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-3030
Country	:	US
Telephone Number	:	270-843-1804
Fax Number	:	270-843-0154

Provider Business Practice Location Address
First Line	:	1721 US 31W BYP
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-3030
Country	:	US
Telephone Number	:	270-843-1804
Fax Number	:	270-843-0154

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

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	03/19/2025

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