Healthcare Provider Details

I. General information

NPI: 1396936167
Provider Name (Legal Business Name): CYNTHIA SWARTZ L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N MAIN ST STE 205
CHELSEA MI
48118-1291
US

IV. Provider business mailing address

4487 FREIERMUTH RD
STOCKBRIDGE MI
49285-9509
US

V. Phone/Fax

Practice location:
  • Phone: 517-420-7148
  • Fax: 517-861-2034
Mailing address:
  • Phone: 517-851-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401008338
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: