Basic Information
Provider Information
NPI: 1194047118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNEIDER
FirstName: EMILY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC-S
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3031 IH 10 WEST
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782015159
CountryCode: US
TelephoneNumber: 2107311300
FaxNumber: 2107311310
Practice Location
Address1: 3031 IH 10 W
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782015159
CountryCode: US
TelephoneNumber: 2107311300
FaxNumber: 2107311310
Other Information
ProviderEnumerationDate: 02/17/2010
LastUpdateDate: 12/27/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X63563TXY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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