Provider Demographics
NPI:1699003533
Name:SNIPES, DAWN ELISE (PHD, LPC-MHSP, LMHC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:ELISE
Last Name:SNIPES
Suffix:
Gender:F
Credentials:PHD, LPC-MHSP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 W MAIN ST STE 902
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-7800
Mailing Address - Country:US
Mailing Address - Phone:615-220-6005
Mailing Address - Fax:
Practice Address - Street 1:1633 W MAIN ST STE 902
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-7800
Practice Address - Country:US
Practice Address - Phone:615-220-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6287101YM0800X
TN3001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health