Provider Demographics
NPI:1487205209
Name:SWARTZ, DONNA JANE (LPCC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:JANE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 WINTERSET DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-1632
Mailing Address - Country:US
Mailing Address - Phone:937-572-6112
Mailing Address - Fax:
Practice Address - Street 1:2378 NATIONAL RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45324-2009
Practice Address - Country:US
Practice Address - Phone:937-879-7996
Practice Address - Fax:937-320-9815
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional