Basic Information
Provider Information
NPI: 1326486952
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SNEID-ARNOLD
FirstName: NUSHECO
MiddleName: S
NamePrefix: MRS.
NameSuffix:  
Credential: LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SNEID
OtherFirstName: NUSHECO
OtherMiddleName: S
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 1827
Address2:  
City: MILLEDGEVILLE
State: GA
PostalCode: 310591827
CountryCode: US
TelephoneNumber: 4784454817
FaxNumber: 4784454963
Practice Location
Address1: 900 BARROWS FERRY RD NE
Address2:  
City: MILLEDGEVILLE
State: GA
PostalCode: 310618520
CountryCode: US
TelephoneNumber: 4784455518
FaxNumber: 4784456084
Other Information
ProviderEnumerationDate: 06/05/2013
LastUpdateDate: 06/05/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XLPC007228GAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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