Provider Demographics
NPI:1104607779
Name:MELISSA SCHLEIER
Entity type:Organization
Organization Name:MELISSA SCHLEIER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-633-8735
Mailing Address - Street 1:33 CRICKET TRL
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1139
Mailing Address - Country:US
Mailing Address - Phone:203-633-8735
Mailing Address - Fax:475-200-9902
Practice Address - Street 1:33 CRICKET TRL
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1139
Practice Address - Country:US
Practice Address - Phone:203-633-8735
Practice Address - Fax:475-200-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty