Provider Demographics
NPI:1609249887
Name:SCHAIN, ELIOT ANTHONY (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ELIOT
Middle Name:ANTHONY
Last Name:SCHAIN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 SANTA FE AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-1047
Mailing Address - Country:US
Mailing Address - Phone:510-604-2311
Mailing Address - Fax:
Practice Address - Street 1:2435 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2080
Practice Address - Country:US
Practice Address - Phone:510-604-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health