BRIAN OLIVER SNOWDEN (NPI# 1386012904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386012904 |
| Entity Type | Individual |
| Full Name | BRIAN OLIVER SNOWDEN |
| Practice Address |
3530 Manor Dr Ste 5a Vicksburg MS 39180 |
| Mailing Address |
3530 Manor Dr Ste 5a Vicksburg MS 39180-5625 |
| Practice Telephone | 6017385260 |
| Practice Fax Number | 6017385361 |
| Mailing Telephone | 6017385260 |
| Mailing Fax Number | 6017385361 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3444 Wisconsin Ave, Vicksburg, MS 391805331 | 6016380031 |
| Street Address |
3530 MANOR DR STE 5A |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679038525 | Jamia Kiana Sanders | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180-5625 | 2019-02-05 |
| 1306332267 | Tessa Crosby | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180-5625 | 2018-07-03 |
| 1447745567 | Tanzania Mala Moore | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180-5625 | 2018-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| 1740353408 | Ballard Dental Group | Dentist | 3040 Indiana Avenue, Vicksburg, MS 39180 | 2006-11-17 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831676899 | Jessica Sanders | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-07-23 |
| 1275988032 | Miranda Knight | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2016-04-29 |
| 1457718033 | Kenard Younger | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2016-01-27 |
| 1417335118 | Peter Anderson Jr. | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2015-05-13 |
| 1023401957 | Heather Potts | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2015-03-17 |
| 1275962029 | Rachel Foster | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2013-11-02 |
| 1821308214 | Jonathan Huff | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2010-10-19 |
| 1720251739 | Susan Barnett | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1356948277 | Tiffany Nicole Dear | Counselor | 28 Dobby Ln, Hattiesburg, MS 39402-7044 | 2020-10-04 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1871115089 | Bernard Anthony Matherne Jr. | Counselor | 226 Lowe Lane, Lucedale, MS 39452-4313 | 2020-05-11 |
| 1952953085 | David Jack Hale | Counselor | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2019-07-09 |
| 1003472838 | Chameleon Davis | Counselor | 71 Sharkey Rd, Glendora, MS 38928-2531 | 2019-05-16 |
| 1255821666 | Ashley Hall | Counselor | 1989 Pass Rd Ste B, Biloxi, MS 39531-4103 | 2018-05-11 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1235632696 | Impact Behavioral Counseling LLC | Counselor | 3600 Bluecutt Rd Ste 202, Columbus, MS 39705-1303 | 2018-03-13 |
| 1164923769 | Janice Lyons | Counselor | 1701 White St # 768, Mccomb, MS 39648-2711 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.