Healthcare Provider Details

I. General information

NPI: 1346488830
Provider Name (Legal Business Name): LIANA G SNYDER MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 02/22/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10091 PARK RUN DR STE 200
LAS VEGAS NV
89145-8868
US

IV. Provider business mailing address

11700 W CHARLESTON BLVD #170-40
LAS VEGAS NV
89135-1573
US

V. Phone/Fax

Practice location:
  • Phone: 702-808-8538
  • Fax:
Mailing address:
  • Phone: 702-808-8538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1566-L
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMF01097
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: