Healthcare Provider Details

I. General information

NPI: 1023948619
Provider Name (Legal Business Name): EDWIN ARTHUR SNYDER III LCMHCA MA NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 PAVERSTONE DR STE E
RALEIGH NC
27615-4703
US

IV. Provider business mailing address

7406 CHAPEL HILL RD STE J
RALEIGH NC
27607-5039
US

V. Phone/Fax

Practice location:
  • Phone: 984-223-5262
  • Fax: 919-573-0438
Mailing address:
  • Phone: 984-223-5262
  • Fax: 919-573-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22948
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: