Healthcare Provider Details

I. General information

NPI: 1073933685
Provider Name (Legal Business Name): KATRIN SWEENEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SW FRAZIER AVE
TOPEKA KS
66606-1963
US

IV. Provider business mailing address

325 SW FRAZIER AVE
TOPEKA KS
66606-1963
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-5005
  • Fax: 785-232-0160
Mailing address:
  • Phone: 785-232-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2973
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: