Provider Demographics
NPI:1235155870
Name:SNEED, GEORGE LOUCION SR (PHD,MAC,NCAC,CAC,CCS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:LOUCION
Last Name:SNEED
Suffix:SR
Gender:M
Credentials:PHD,MAC,NCAC,CAC,CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 ALENE CIR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-4301
Mailing Address - Country:US
Mailing Address - Phone:706-733-0188
Mailing Address - Fax:706-731-7288
Practice Address - Street 1:1 FREEDOM WAY
Practice Address - Street 2:SATP/OPT CLININC
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6258
Practice Address - Country:US
Practice Address - Phone:706-733-0188
Practice Address - Fax:706-731-7288
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA500382101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)