Provider Demographics
NPI:1407231996
Name:CENTER FOR COUNSELING AND PSYCHOTHERAPY, PLLC
Entity Type:Organization
Organization Name:CENTER FOR COUNSELING AND PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SWINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LPC, NCC
Authorized Official - Phone:269-501-4729
Mailing Address - Street 1:487 S DRAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-3236
Mailing Address - Country:US
Mailing Address - Phone:269-501-4729
Mailing Address - Fax:
Practice Address - Street 1:487 S DRAKE RD STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-3236
Practice Address - Country:US
Practice Address - Phone:269-779-7577
Practice Address - Fax:269-775-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-25
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801098756OtherSOCIAL WORKER