Provider Demographics
NPI:1649059718
Name:RAGAN SNYDER LSCSW
Entity type:Organization
Organization Name:RAGAN SNYDER LSCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-202-8066
Mailing Address - Street 1:250 N ROCK RD STE 375
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-2243
Mailing Address - Country:US
Mailing Address - Phone:316-202-8066
Mailing Address - Fax:
Practice Address - Street 1:250 N ROCK RD STE 375
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-2243
Practice Address - Country:US
Practice Address - Phone:316-202-8066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)