Healthcare Provider Details

I. General information

NPI: 1649105461
Provider Name (Legal Business Name): GREGORY SWARINGEN MDIV, MA, LPCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 TORGERSON WAY
SIMPSONVILLE SC
29680-7589
US

IV. Provider business mailing address

507 TORGERSON WAY
SIMPSONVILLE SC
29680-7589
US

V. Phone/Fax

Practice location:
  • Phone: 864-652-5597
  • Fax:
Mailing address:
  • Phone: 864-652-5597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10457
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: