Provider Demographics
NPI:1568931947
Name:SCHUTTE, MADELINE (LPCC)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:SCHUTTE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 OWL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:KY
Mailing Address - Zip Code:41059-8268
Mailing Address - Country:US
Mailing Address - Phone:859-802-1050
Mailing Address - Fax:
Practice Address - Street 1:5210 OWL CREEK RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:KY
Practice Address - Zip Code:41059-8268
Practice Address - Country:US
Practice Address - Phone:859-802-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY276979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional