Provider Demographics
NPI:1851861439
Name:SNEED, ZACHERY BRIAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZACHERY
Middle Name:BRIAN
Last Name:SNEED
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3B310, 3601 4TH ST STOP 6225
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430
Mailing Address - Country:US
Mailing Address - Phone:806-743-4274
Mailing Address - Fax:806-743-3244
Practice Address - Street 1:3B310, 3601 4TH ST STOP 6225
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-4274
Practice Address - Fax:806-743-3244
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
56563225C00000X
TX11865101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor