Provider Demographics
NPI:1124175476
Name:SCHOENING, TODD S SR (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:S
Last Name:SCHOENING
Suffix:SR
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5135 TOKEN TRL
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9048
Mailing Address - Country:US
Mailing Address - Phone:407-971-1072
Mailing Address - Fax:407-977-3630
Practice Address - Street 1:3400 QUADRANGLE BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1492
Practice Address - Country:US
Practice Address - Phone:407-384-1044
Practice Address - Fax:407-977-3630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT-1706106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2016355OtherCIGNA
FL7884099OtherAETNA
FLZ9160OtherBLUECROSSBLUESHIELD OFFL
FLSCHOTODDOtherCORPHEALTH