Provider Demographics
NPI:1396569737
Name:SCHOVAN, AUDRA (LCSW)
Entity type:Individual
Prefix:MS
First Name:AUDRA
Middle Name:
Last Name:SCHOVAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N STATE HIGHWAY 289
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6557
Mailing Address - Country:US
Mailing Address - Phone:972-983-1037
Mailing Address - Fax:
Practice Address - Street 1:2909 N STATE HIGHWAY 289
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6557
Practice Address - Country:US
Practice Address - Phone:972-983-1037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1144461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical