Provider Demographics
NPI:1376421693
Name:SNYDER, DENAE (, LMHCA)
Entity type:Individual
Prefix:
First Name:DENAE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2177 INTELLIPLEX DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8583
Mailing Address - Country:US
Mailing Address - Phone:317-207-1830
Mailing Address - Fax:
Practice Address - Street 1:2177 INTELLIPLEX DR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8583
Practice Address - Country:US
Practice Address - Phone:317-207-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88003014A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor