Provider Demographics
NPI:1821446717
Name:DIANA ABATE SCHNEIDER, LLC
Entity Type:Organization
Organization Name:DIANA ABATE SCHNEIDER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT, RYT 200
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ABATE
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, RYT 200
Authorized Official - Phone:203-895-9504
Mailing Address - Street 1:56 SLATER RD
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1802
Mailing Address - Country:US
Mailing Address - Phone:203-895-9504
Mailing Address - Fax:
Practice Address - Street 1:553 PORTLAND COBALT RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:CT
Practice Address - Zip Code:06480-1968
Practice Address - Country:US
Practice Address - Phone:860-506-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001397106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty