Healthcare Provider Details

I. General information

NPI: 1922709732
Provider Name (Legal Business Name): SHARON HEWITT SNEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 S FARMERVILLE ST
RUSTON LA
71270-4654
US

IV. Provider business mailing address

1106 PINE ST
MINDEN LA
71055-9304
US

V. Phone/Fax

Practice location:
  • Phone: 318-548-1463
  • Fax: 318-548-9202
Mailing address:
  • Phone: 318-268-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: