Provider Demographics
NPI:1821636713
Name:PREMDAS-AUFFANT, SCHAE (LMHC)
Entity Type:Individual
Prefix:
First Name:SCHAE
Middle Name:
Last Name:PREMDAS-AUFFANT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SCHAE
Other - Middle Name:
Other - Last Name:AUFFANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:21 SYLVAN AVE
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-3433
Mailing Address - Country:US
Mailing Address - Phone:518-929-7131
Mailing Address - Fax:
Practice Address - Street 1:4 PALISADES DR STE 205
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-1449
Practice Address - Country:US
Practice Address - Phone:518-434-1799
Practice Address - Fax:518-434-1132
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health