Provider Demographics
NPI:1710663604
Name:SWOPE, ORREN JONES
Entity Type:Individual
Prefix:
First Name:ORREN
Middle Name:JONES
Last Name:SWOPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ORREN
Other - Middle Name:LYNN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 EAST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263
Mailing Address - Country:US
Mailing Address - Phone:678-378-4122
Mailing Address - Fax:
Practice Address - Street 1:25 EAST BROAD STREET
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263
Practice Address - Country:US
Practice Address - Phone:678-378-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional