Provider Demographics
NPI:1871313155
Name:SCHOMBERG, VICKY MARIE (LPC)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:MARIE
Last Name:SCHOMBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 WOOD BRG
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1578
Mailing Address - Country:US
Mailing Address - Phone:936-827-2929
Mailing Address - Fax:
Practice Address - Street 1:303 E AIRLINE RD STE 4
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3957
Practice Address - Country:US
Practice Address - Phone:936-827-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90055101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health