Provider Demographics
NPI:1245786334
Name:SNELL, LORI C (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:C
Last Name:SNELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7724 SABLE LN
Mailing Address - Street 2:
Mailing Address - City:N RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-4676
Mailing Address - Country:US
Mailing Address - Phone:817-584-7906
Mailing Address - Fax:
Practice Address - Street 1:3317 FINLEY RD
Practice Address - Street 2:SUITE 168
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-8722
Practice Address - Country:US
Practice Address - Phone:972-570-9828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YA0400X
TX69300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)