Provider Demographics
NPI:1861237455
Name:PERRIGAN-SWINEY, SARAH JANE (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:PERRIGAN-SWINEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-0352
Mailing Address - Country:US
Mailing Address - Phone:276-254-5445
Mailing Address - Fax:
Practice Address - Street 1:24658 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:HAYSI
Practice Address - State:VA
Practice Address - Zip Code:24256-5003
Practice Address - Country:US
Practice Address - Phone:276-254-5445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health