Provider Demographics
NPI:1760105936
Name:SNEAD, EMILY TAEKO (EDS, LPC/A)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:TAEKO
Last Name:SNEAD
Suffix:
Gender:F
Credentials:EDS, LPC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OLD TREE CT
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-8418
Mailing Address - Country:US
Mailing Address - Phone:803-422-8128
Mailing Address - Fax:
Practice Address - Street 1:1220 PICKENS ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3428
Practice Address - Country:US
Practice Address - Phone:803-200-2389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8163101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional