Provider Demographics
NPI:1548492812
Name:SWAYZE, SUSAN (LPCC - S)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:SWAYZE
Suffix:
Gender:F
Credentials:LPCC - S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 SAWMILL RD.
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016
Mailing Address - Country:US
Mailing Address - Phone:614-766-0161
Mailing Address - Fax:614-766-0298
Practice Address - Street 1:7251 SAWMILL RD.
Practice Address - Street 2:SUITE 150
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016
Practice Address - Country:US
Practice Address - Phone:614-766-0161
Practice Address - Fax:614-766-0298
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0003537-SUPV101YP2500X
OHE0003537104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional