Provider Demographics
NPI:1831560267
Name:SNYDER, AUDREY LEIGH (LMHC, LCAS)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:LEIGH
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LMHC, LCAS
Other - Prefix:
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:THORNHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 646
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-0646
Mailing Address - Country:US
Mailing Address - Phone:828-371-0522
Mailing Address - Fax:828-631-9280
Practice Address - Street 1:545 N LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:LAKE JUNALUSKA
Practice Address - State:NC
Practice Address - Zip Code:28745-9742
Practice Address - Country:US
Practice Address - Phone:828-371-0522
Practice Address - Fax:828-631-9280
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-12
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11875101YM0800X
NCA11875101YP2500X, 101YM0800X
NCLCAS-23107101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty