Provider Demographics
NPI:1194874727
Name:SCHNEIDER, JUDY WELLS (PHD,LPC)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:WELLS
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHD,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 WHITNEY ST STE R
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-5731
Mailing Address - Country:US
Mailing Address - Phone:404-626-7526
Mailing Address - Fax:770-941-5675
Practice Address - Street 1:96 WHITNEY ST
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-5731
Practice Address - Country:US
Practice Address - Phone:404-626-7526
Practice Address - Fax:770-941-5675
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health