Healthcare Provider Details

I. General information

NPI: 1851028716
Provider Name (Legal Business Name): LAKITA SNEAD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37450 SCHOOLCRAFT RD STE 110
LIVONIA MI
48150-1000
US

IV. Provider business mailing address

37450 SCHOOLCRAFT RD STE 110
LIVONIA MI
48150-1000
US

V. Phone/Fax

Practice location:
  • Phone: 734-458-4601
  • Fax:
Mailing address:
  • Phone: 734-458-4601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451017878
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: