Healthcare Provider Details

I. General information

NPI: 1316726367
Provider Name (Legal Business Name): HANNAH SCHNEIDER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4867 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-9787
US

IV. Provider business mailing address

4867 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-9787
US

V. Phone/Fax

Practice location:
  • Phone: 616-965-1010
  • Fax:
Mailing address:
  • Phone: 616-965-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: HANNAH ELEANOR SCHNEIDER
Title or Position: THERAPIST
Credential: LMSW
Phone: 616-965-1010