Provider Demographics
NPI:1699808717
Name:SWARTZ, CINDY SUE (LCAS, CSI)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:SUE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LCAS, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 WYNTERCREST LN
Mailing Address - Street 2:DURHAM
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-4515
Mailing Address - Country:US
Mailing Address - Phone:919-695-2483
Mailing Address - Fax:
Practice Address - Street 1:2614 WYNTERCREST LN
Practice Address - Street 2:DURHAM
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-4515
Practice Address - Country:US
Practice Address - Phone:919-695-2483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2014-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-2954101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health