Healthcare Provider Details
I. General information
NPI: 1003573866
Provider Name (Legal Business Name): CAROLYNN BRYAN SNYDER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/29/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
511 W CHURCH ST
POCAHONTAS AR
72455-2755
US
IV. Provider business mailing address
2517 REBECCA DR
POCAHONTAS AR
72455-3026
US
V. Phone/Fax
- Phone: 501-737-4320
- Fax:
- Phone: 501-737-4320
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | P2607011 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: