Provider Demographics
NPI:1760551725
Name:SNEED, JOHN HALEY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HALEY
Last Name:SNEED
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8180 COUNTY ROAD 572
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-0845
Mailing Address - Country:US
Mailing Address - Phone:325-784-9162
Mailing Address - Fax:325-784-8123
Practice Address - Street 1:1012 COGGIN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-3612
Practice Address - Country:US
Practice Address - Phone:325-784-9162
Practice Address - Fax:325-784-8123
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205741041C0700X
CA32451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00588TOtherBLUE CROSS
TXSW00588T4Medicare ID - Type Unspecified