Healthcare Provider Details

I. General information

NPI: 1760103352
Provider Name (Legal Business Name): ANDRA LEIGH SCHUETTINGER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDRA LEIGH APPLE

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 BALLSTON AVE
SARATOGA SPRINGS NY
12866-4723
US

IV. Provider business mailing address

359 BALLSTON AVE
SARATOGA SPRINGS NY
12866-4723
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-8008
  • Fax: 518-587-8241
Mailing address:
  • Phone: 518-587-8008
  • Fax: 518-587-8241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number012763
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: