Healthcare Provider Details

I. General information

NPI: 1629900766
Provider Name (Legal Business Name): JAMILYN ELIZABETH BLAINE-SNYDER LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10683 S SAGINAW ST STE B
GRAND BLANC MI
48439-8127
US

IV. Provider business mailing address

12245 TOWNLINE RD
GRAND BLANC MI
48439-1634
US

V. Phone/Fax

Practice location:
  • Phone: 810-214-2884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121892
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: