Healthcare Provider Details

I. General information

NPI: 1205608981
Provider Name (Legal Business Name): ANNA SWEZEY LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 W PARK PL STE 221
COEUR D ALENE ID
83814-2784
US

IV. Provider business mailing address

1110 W PARK PL STE 221
COEUR D ALENE ID
83814-2784
US

V. Phone/Fax

Practice location:
  • Phone: 208-252-5239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8331678
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: