Healthcare Provider Details

I. General information

NPI: 1548969686
Provider Name (Legal Business Name): LAURA SCHNEIDER LCPAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15204 OMEGA DR STE 100
ROCKVILLE MD
20850-4812
US

IV. Provider business mailing address

17243 SPATES HILL RD
POOLESVILLE MD
20837-2168
US

V. Phone/Fax

Practice location:
  • Phone: 301-279-6750
  • Fax: 301-208-8953
Mailing address:
  • Phone: 301-792-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATC078
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberATC078
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: