Provider Demographics
NPI:1649377151
Name:SCHNEIDER, ALAN JAY (LCSW LPC LMFT CGP BC)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:JAY
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:LCSW LPC LMFT CGP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2425 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4823
Mailing Address - Country:US
Mailing Address - Phone:713-266-6029
Mailing Address - Fax:713-783-4686
Practice Address - Street 1:2425 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4823
Practice Address - Country:US
Practice Address - Phone:713-266-6029
Practice Address - Fax:713-783-4686
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-19
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX01016101YP2500X
TX49071041C0700X
TX01027106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00610HOtherPTAN