MEDICARE: AUDREY SCHOEN LMFT LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSION

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1598425522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDREY SCHOEN LMFT LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSION

Provider Business Mailing Address
First Line	:	8020 ROB ROY LN
Second Line	:
City	:	GRANITE BAY
State	:	CA
Zip	:	95746-9336
Country	:	US
Telephone Number	:	530-906-4899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1380 LEAD HILL BLVD STE 145
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-2998
Country	:	US
Telephone Number	:	916-469-5591
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AUDREY SCHOEN
Credential	:	LMFT
Telephone Number	:	916-469-5591

Provider Enumeration Date	:	12/17/2021
Last Update Date	:	06/21/2025

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