Provider Demographics
NPI:1629857594
Name:SCHNURR ALVES, TATIANA ANGELA CABRAL (LMHC)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:ANGELA CABRAL
Last Name:SCHNURR ALVES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 ANCHOR WAY BLDG 14
Mailing Address - Street 2:
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721-1354
Mailing Address - Country:US
Mailing Address - Phone:609-891-9804
Mailing Address - Fax:
Practice Address - Street 1:86 ANCHOR WAY BLDG 14
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1354
Practice Address - Country:US
Practice Address - Phone:609-891-9804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health