Provider Demographics
NPI:1508153644
Name:SNEED, AUDRA MICHELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:AUDRA
Middle Name:MICHELLE
Last Name:SNEED
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3717 GRACELAWN DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5633
Mailing Address - Country:US
Mailing Address - Phone:931-444-5485
Mailing Address - Fax:931-444-5577
Practice Address - Street 1:556 FIRE STATION RD STE B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4071
Practice Address - Country:US
Practice Address - Phone:931-444-5485
Practice Address - Fax:931-444-5577
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health