Provider Demographics
NPI:1508053687
Name:CHERYL SWENNY & ASSOCIATES
Entity Type:Organization
Organization Name:CHERYL SWENNY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SWENNY
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-498-7600
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:62563-0018
Mailing Address - Country:US
Mailing Address - Phone:217-498-7600
Mailing Address - Fax:217-498-8093
Practice Address - Street 1:201 S. WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IL
Practice Address - Zip Code:62563
Practice Address - Country:US
Practice Address - Phone:217-498-7600
Practice Address - Fax:217-498-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1578679874OtherNPI
IL11375073OtherCAQH
IL08408506OtherBC/BS