Organization
OMEGA YOUTH EMPOWERMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON V SCHOONMAKER LPC (LICENSED PROFESSIONAL COUNSELOR)
(517) 902-1754
Entity
Organization
Contact information
Practice address
600 N. BROAD STREET, ADRIAN, MI 49221-2132
(517) 902-1754
(517) 759-3939
Mailing address
600 N. BROAD STREET, ADRIAN, MI 49221-2132
(517) 902-1754
(517) 759-3939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12409755
MERIDIAN
MI
01
—
P234109
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/23/2019
Last updated
09/24/2025
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