Provider Demographics
NPI:1659166700
Name:SNIDER, AMY (LCMHC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SNIDER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 CRAWFORD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-4509
Mailing Address - Country:US
Mailing Address - Phone:802-673-6416
Mailing Address - Fax:
Practice Address - Street 1:1734 CRAWFORD RD STE 2
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-4509
Practice Address - Country:US
Practice Address - Phone:802-673-6416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0136564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health