Provider Demographics
NPI:1336493444
Name:SWEET, RICHARD LEE (LCPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LEE
Last Name:SWEET
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 BESTGATE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3472
Mailing Address - Country:US
Mailing Address - Phone:240-644-8176
Mailing Address - Fax:
Practice Address - Street 1:839 BESTGATE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3472
Practice Address - Country:US
Practice Address - Phone:240-644-8176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3398101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional