Provider Demographics
NPI:1134624737
Name:SCHNELLE, ROMINA MARIE (LMFT 123169)
Entity type:Individual
Prefix:MRS
First Name:ROMINA
Middle Name:MARIE
Last Name:SCHNELLE
Suffix:
Gender:F
Credentials:LMFT 123169
Other - Prefix:MISS
Other - First Name:ROMINA
Other - Middle Name:MARIE
Other - Last Name:ROSERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT 123169
Mailing Address - Street 1:201 E CENTER ST
Mailing Address - Street 2:STE 112 PMB 3446
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-1606
Mailing Address - Country:US
Mailing Address - Phone:657-201-9166
Mailing Address - Fax:
Practice Address - Street 1:201 E CENTER ST
Practice Address - Street 2:STE 112 PMB 3446
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-1606
Practice Address - Country:US
Practice Address - Phone:909-300-6572
Practice Address - Fax:866-420-8994
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123169106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist