Provider Demographics
NPI:1750819322
Name:SWARTZ, BETHANY (LPC)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:HEIGES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:270 SUSQUEHANNA VALLEY MALL DR STE 100
Practice Address - Street 2:
Practice Address - City:SELINSGROVE
Practice Address - State:PA
Practice Address - Zip Code:17870-9115
Practice Address - Country:US
Practice Address - Phone:570-768-4441
Practice Address - Fax:570-768-4195
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-26
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
PAPC010068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty