Provider Demographics
NPI:1265099329
Name:SCHNEIDER, JILL STRELITZ (LMHC)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:STRELITZ
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1654 SW 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8521
Mailing Address - Country:US
Mailing Address - Phone:561-271-9640
Mailing Address - Fax:561-391-8562
Practice Address - Street 1:1515 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1911
Practice Address - Country:US
Practice Address - Phone:561-271-9640
Practice Address - Fax:561-391-8562
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH12190OtherALL FLORIDA PROVIDERS OUT OF NETWORK