Healthcare Provider Details

I. General information

NPI: 1720266943
Provider Name (Legal Business Name): SNIDER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 HELEN KELLER BLVD SUITE A
TUSCALOOSA AL
35404-2963
US

IV. Provider business mailing address

661 HELEN KELLER BLVD SUITE A
TUSCALOOSA AL
35404-2963
US

V. Phone/Fax

Practice location:
  • Phone: 205-554-0866
  • Fax: 205-554-0279
Mailing address:
  • Phone: 205-554-0866
  • Fax: 205-554-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. BARRY W SNIDER
Title or Position: OWNER
Credential:
Phone: 205-554-0866