Healthcare Provider Details

I. General information

NPI: 1396784781
Provider Name (Legal Business Name): DIANE BRILL SNEED LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 A WEST MAIN ST
RICHMOND VA
23220
US

IV. Provider business mailing address

4400 CHEYENNE RD
RICHMOND VA
23235-1232
US

V. Phone/Fax

Practice location:
  • Phone: 804-389-3013
  • Fax: 804-303-7616
Mailing address:
  • Phone: 804-389-3013
  • Fax: 804-303-7616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0701002037
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701002037
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: