Provider Demographics
NPI:1104795491
Name:SCHWARTZ, EMILY (MFTA)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 BUCKLAND HILLS DR APT 22213
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-9102
Mailing Address - Country:US
Mailing Address - Phone:516-589-2953
Mailing Address - Fax:
Practice Address - Street 1:465 BUCKLAND HILLS DR APT 22213
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-9102
Practice Address - Country:US
Practice Address - Phone:516-589-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist