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General NPI Number Information
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NPI Number | 1841833761
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Entity Type | Organization
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Legal Business Name | SWEENEYPSYCH, PLLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 811 CENTRAL AVE STE 2
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City | CHARLOTTE
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State | NC
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Zip | 28204-2015
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Country | US
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Telephone | 980-236-0734
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Fax | 980-422-0083
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Provider Business Mailing Address
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Address Line | 811 CENTRAL AVE STE 2
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City | CHARLOTTE
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State | NC
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Zip | 28204-2015
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Country | US
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Telephone | 980-236-0734
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Fax | 980-422-0083
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Authorized Official
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Title or Position | PRESIDENT/OWNER/LICENSED PSYCHOLOGI
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Name | DR. JOCIE SWEENEY
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Credential | PHD
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Telephone | 980-236-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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