Provider Demographics
NPI:1649767443
Name:SCHENK, LIANA IRENE (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:IRENE
Last Name:SCHENK
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7848 STATE ROUTE 20A
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14469-9612
Mailing Address - Country:US
Mailing Address - Phone:585-704-0066
Mailing Address - Fax:585-704-0066
Practice Address - Street 1:5297 PARKSIDE DRIVE
Practice Address - Street 2:BUILDING 400, SUITE 408
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424
Practice Address - Country:US
Practice Address - Phone:585-704-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health