Provider Demographics
NPI:1437730041
Name:SWINEY, DAWN M (LMFT)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:SWINEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 FOXHALL DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7732
Mailing Address - Country:US
Mailing Address - Phone:678-371-2136
Mailing Address - Fax:
Practice Address - Street 1:11 DUNWOODY PARK STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6713
Practice Address - Country:US
Practice Address - Phone:770-744-2587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001604106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist