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General NPI Number Information
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NPI Number | 1891586509
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Entity Type | Individual
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Provider Name | SAMANTHA SNYDER LMHC, LCAC
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 19 W NORTH ST STE A
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City | GREENFIELD
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State | IN
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Zip | 46140-2171
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Country | US
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Telephone | 317-642-6491
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Fax |
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Provider Business Mailing Address
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Address Line | 8736 S COUNTY ROAD 575 W
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City | KNIGHTSTOWN
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State | IN
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Zip | 46148-9696
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Country | US
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Telephone | 317-483-7057
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39004010A
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License Number State | IN
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