Provider Demographics
NPI:1508676503
Name:SNELL, FAITH LE'ETTE (LMSW)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:LE'ETTE
Last Name:SNELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 934
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31040-0934
Mailing Address - Country:US
Mailing Address - Phone:478-998-0412
Mailing Address - Fax:
Practice Address - Street 1:1113B HILLCREST PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3555
Practice Address - Country:US
Practice Address - Phone:478-353-1139
Practice Address - Fax:478-353-1165
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW011359104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker