Provider Demographics
NPI:1679892830
Name:SCHIANO, TEA (LPCC, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:TEA
Middle Name:
Last Name:SCHIANO
Suffix:
Gender:F
Credentials:LPCC, ATR-BC
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:D
Other - Last Name:SCHIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 ALLEN DR
Mailing Address - Street 2:
Mailing Address - City:LOS LUNAS
Mailing Address - State:NM
Mailing Address - Zip Code:87031-7605
Mailing Address - Country:US
Mailing Address - Phone:505-864-8217
Mailing Address - Fax:505-864-8217
Practice Address - Street 1:4 ALLEN DR
Practice Address - Street 2:
Practice Address - City:LOS LUNAS
Practice Address - State:NM
Practice Address - Zip Code:87031-7605
Practice Address - Country:US
Practice Address - Phone:505-864-8217
Practice Address - Fax:505-864-8217
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0120121101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional