Provider Demographics
NPI:1093911729
Name:SCHNEIDER, MALINDA BELL (LPC)
Entity Type:Individual
Prefix:MISS
First Name:MALINDA
Middle Name:BELL
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MALINDA
Other - Middle Name:
Other - Last Name:MCBEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1702 BUCKINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-3605
Mailing Address - Country:US
Mailing Address - Phone:816-364-6007
Mailing Address - Fax:816-364-0772
Practice Address - Street 1:300 GALAXIE AVE
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701
Practice Address - Country:US
Practice Address - Phone:816-380-5167
Practice Address - Fax:816-380-5841
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005041386101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490376001Medicaid