Provider Demographics
NPI:1992291611
Name:GLENDY SCHWEITZER AND ASSOCIATES, LLC
Entity type:Organization
Organization Name:GLENDY SCHWEITZER AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, LPC
Authorized Official - Phone:860-214-5038
Mailing Address - Street 1:30 BRIDGE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3517
Mailing Address - Country:US
Mailing Address - Phone:860-214-5038
Mailing Address - Fax:860-799-5750
Practice Address - Street 1:30 BRIDGE ST STE 3
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3517
Practice Address - Country:US
Practice Address - Phone:860-214-5038
Practice Address - Fax:860-799-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1101101YA0400X
CT2987101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty