Provider Demographics
NPI:1447429188
Name:D'ARCY SWANSON INC.
Entity Type:Organization
Organization Name:D'ARCY SWANSON INC.
Other - Org Name:LIVING WISDOM INCORPORATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:D'ARCY
Authorized Official - Middle Name:BENEDICT
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LP,C
Authorized Official - Phone:541-419-3947
Mailing Address - Street 1:19928 SW HOLLYGRAPE ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-2575
Mailing Address - Country:US
Mailing Address - Phone:541-419-3947
Mailing Address - Fax:541-317-9757
Practice Address - Street 1:548 SW 13TH ST
Practice Address - Street 2:SUITE #100
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3184
Practice Address - Country:US
Practice Address - Phone:541-419-3947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1803101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty