MEDICARE: ALISSA SCHNEIDER MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH16221	FL

General Provider Information

NPI Number	:	1659744811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA SCHNEIDER MA, LMHC

Provider Business Mailing Address
First Line	:	1601-1 N MAIN ST UNIT 3159
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-7707
Country	:	US
Telephone Number	:	561-449-2478
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601-1 N MAIN ST UNIT 3159
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-7707
Country	:	US
Telephone Number	:	561-449-2478
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	09/18/2019

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