Provider Demographics
NPI:1114178456
Name:SNELL, TASHANNA ANN (BA)
Entity Type:Individual
Prefix:MRS
First Name:TASHANNA
Middle Name:ANN
Last Name:SNELL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MISS
Other - First Name:TASHANNA
Other - Middle Name:ANN
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MSW, LICSW, LCSW
Mailing Address - Street 1:133 HARE RD #1313
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-9998
Mailing Address - Country:US
Mailing Address - Phone:253-677-0952
Mailing Address - Fax:
Practice Address - Street 1:11327 CASCADING STREAM WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-2257
Practice Address - Country:US
Practice Address - Phone:253-677-0952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1043141041C0700X
WA609162681041C0700X
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health