MEDICARE: JOEY SCHNOPLE COUNSELING, PLLC

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

General Provider Information

NPI Number	:	1578239489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEY SCHNOPLE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	18829 AVERY PARK DR
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-0170
Country	:	US
Telephone Number	:	704-619-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	20468 CHARTWELL CENTER DR STE N
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-9642
Country	:	US
Telephone Number	:	704-619-8707
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH SCHNOPLE
Credential	:
Telephone Number	:	704-619-8707

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	08/19/2021

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