1245448919 NPI number — MRS. LURLENE DARTON SWEENEY LCPC, NCC

Table of content: MRS. LURLENE DARTON SWEENEY LCPC, NCC (NPI 1245448919)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245448919 NPI number — MRS. LURLENE DARTON SWEENEY LCPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWEENEY
Provider First Name:
LURLENE
Provider Middle Name:
DARTON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245448919
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11412 OLD LOTTSFORD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MITCHELLVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20721-2732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-249-8812
Provider Business Mailing Address Fax Number:
301-249-8864

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6178 OXON HILL RD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
OXON HILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20745-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-567-4751
Provider Business Practice Location Address Fax Number:
301-567-3856
Provider Enumeration Date:
05/18/2007

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: 101YP2500X , with the licence number:  LC2215 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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