Healthcare Provider Details

I. General information

NPI: 1013866839
Provider Name (Legal Business Name): ALICIA SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6628 SKY POINTE DR STE 100
LAS VEGAS NV
89131-4071
US

IV. Provider business mailing address

1333 DEEP VALLEY AVE
NORTH LAS VEGAS NV
89084-4005
US

V. Phone/Fax

Practice location:
  • Phone: 702-419-1533
  • Fax:
Mailing address:
  • Phone: 702-419-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: