Healthcare Provider Details

I. General information

NPI: 1508183757
Provider Name (Legal Business Name): JILL D. SNIVELY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 09/06/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 LOCHBUIE CIR
LOVELAND CO
80538-5385
US

IV. Provider business mailing address

2633 LOCHBUIE CIR
LOVELAND CO
80538-5385
US

V. Phone/Fax

Practice location:
  • Phone: 610-334-5595
  • Fax: 610-300-7759
Mailing address:
  • Phone: 610-334-5595
  • Fax: 610-300-7759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JILL D SNIVELY-THOMAS
Title or Position: OWNER
Credential: LPC
Phone: 610-334-5595