Provider Demographics
NPI:1689158214
Name:SCHAECHER, LADORA MARIE KELLEY (LIMHP)
Entity type:Individual
Prefix:
First Name:LADORA
Middle Name:MARIE KELLEY
Last Name:SCHAECHER
Suffix:
Gender:
Credentials:LIMHP
Other - Prefix:
Other - First Name:LADORA
Other - Middle Name:MARIE KELLEY
Other - Last Name:DOHMEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:432 W NORFOLK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-5235
Mailing Address - Country:US
Mailing Address - Phone:402-920-1921
Mailing Address - Fax:
Practice Address - Street 1:432 W. NORFOLK AVE.
Practice Address - Street 2:SUITE 202
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-5235
Practice Address - Country:US
Practice Address - Phone:402-920-1921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025001500Medicaid