Provider Demographics
NPI:1760678973
Name:SWEENEY, BRENDA LEA (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:BRENDA
Middle Name:LEA
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BAY VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-3820
Mailing Address - Country:US
Mailing Address - Phone:508-863-1593
Mailing Address - Fax:508-998-1906
Practice Address - Street 1:10 PURCHASE ST STE 300
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3100
Practice Address - Country:US
Practice Address - Phone:508-863-1593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7085101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty