Provider Demographics
NPI:1417223686
Name:SNYDER, MELIA (LPC, LCMHC, PHD)
Entity Type:Individual
Prefix:
First Name:MELIA
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPC, LCMHC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S RAINBOW RD
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1637
Mailing Address - Country:US
Mailing Address - Phone:970-903-3441
Mailing Address - Fax:
Practice Address - Street 1:901 S RAINBOW RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1637
Practice Address - Country:US
Practice Address - Phone:479-254-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7793101Y00000X
NC101YA0400X
ARP2210014101YM0800X, 101YP2500X
COLPC.0014898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health