Provider Demographics
NPI:1871866210
Name:SCHNEIDER, RACHEL ELIZABETH (MS, LPCC, LICDC, DTR)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS, LPCC, LICDC, DTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 BECKETT CENTER DR STE 103
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5028
Mailing Address - Country:US
Mailing Address - Phone:513-525-3641
Mailing Address - Fax:
Practice Address - Street 1:8080 BECKETT CENTER DR STE 103
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5028
Practice Address - Country:US
Practice Address - Phone:513-525-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101160101YA0400X
OHE.800192101YM0800X
OH136A00000X
OHE.0800192-S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered