Provider Demographics
NPI:1417100876
Name:SCHNEIDER, CHRISTY (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:BLACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1117 CHEROKEE ST
Mailing Address - Street 2:STE 301
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3614
Mailing Address - Country:US
Mailing Address - Phone:720-486-9851
Mailing Address - Fax:
Practice Address - Street 1:1117 CHEROKEE ST
Practice Address - Street 2:STE 301
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3614
Practice Address - Country:US
Practice Address - Phone:720-486-9851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5097101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional