Provider Demographics
NPI:1871752972
Name:SNEED, DOLORES HILL (MAMSWLMSWACSWCAAC)
Entity type:Individual
Prefix:MS
First Name:DOLORES
Middle Name:HILL
Last Name:SNEED
Suffix:
Gender:F
Credentials:MAMSWLMSWACSWCAAC
Other - Prefix:
Other - First Name:DOLORES
Other - Middle Name:MARIE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAMSWLMSWACSWCAAC
Mailing Address - Street 1:3547 ALPINE AVE NW
Mailing Address - Street 2:#133
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49544
Mailing Address - Country:US
Mailing Address - Phone:616-951-1627
Mailing Address - Fax:
Practice Address - Street 1:3547 ALPINE AVE NW
Practice Address - Street 2:#133
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544
Practice Address - Country:US
Practice Address - Phone:616-951-1627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801064896171M00000X, 1041C0700X, 1041S0200X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)