Provider Demographics
NPI:1003112889
Name:SNYPE-STEWART, VIVICA YVONNE (LPC, LMSW, CRC, LCAC)
Entity Type:Individual
Prefix:MS
First Name:VIVICA
Middle Name:YVONNE
Last Name:SNYPE-STEWART
Suffix:
Gender:F
Credentials:LPC, LMSW, CRC, LCAC
Other - Prefix:
Other - First Name:VIVICA
Other - Middle Name:YVONNE
Other - Last Name:SNYPE-STEWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC,CRC, LMSW, LCAC
Mailing Address - Street 1:1520 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1530
Mailing Address - Country:US
Mailing Address - Phone:816-421-7643
Mailing Address - Fax:816-421-0405
Practice Address - Street 1:1520 CHERRY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1530
Practice Address - Country:US
Practice Address - Phone:816-421-7643
Practice Address - Fax:816-421-0405
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7733104100000X
KS961101YP2500X
KS219101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)