Healthcare Provider Details

I. General information

NPI: 1720196397
Provider Name (Legal Business Name): KIRK ALLEN SNYDER MA, LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 E GARNER RD SUITE 600
BROWNSBURG IN
46112-7698
US

IV. Provider business mailing address

69 E GARNER RD STE 600
BROWNSBURG IN
46112-7001
US

V. Phone/Fax

Practice location:
  • Phone: 317-858-2211
  • Fax:
Mailing address:
  • Phone: 317-858-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39000211A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: