Healthcare Provider Details

I. General information

NPI: 1982587010
Provider Name (Legal Business Name): HANNAH NICHOLE SNYDER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH NICHOLE WALES

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 N BITTERSWEET LN
MUNCIE IN
47304-2964
US

IV. Provider business mailing address

1215 N BITTERSWEET LN
MUNCIE IN
47304-2964
US

V. Phone/Fax

Practice location:
  • Phone: 765-541-9271
  • Fax:
Mailing address:
  • Phone: 765-541-9271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number99132078A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: