1316195670 NPI number — CARLY H SWINGLEY LCPC

Table of content: CARLY H SWINGLEY LCPC (NPI 1316195670)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316195670 NPI number — CARLY H SWINGLEY LCPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWINGLEY
Provider First Name:
CARLY
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HEISHMAN
Provider Other First Name:
CARLY
Provider Other Middle Name:
H
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316195670
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3089
Provider Second Line Business Mailing Address:
CENTER FOR MENTAL HEALTH
Provider Business Mailing Address City Name:
GREAT FALLS
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59403-3089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-761-2100
Provider Business Mailing Address Fax Number:
406-761-2107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
630 SACAJAWEA DR
Provider Second Line Business Practice Location Address:
CENTER FOR MENTAL HEALTH/SACAJAWEA ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
GREAT FALLS
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59404-1222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-761-2100
Provider Business Practice Location Address Fax Number:
406-761-2107
Provider Enumeration Date:
08/28/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  1374 LCPC , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)