Provider Demographics
NPI:1891933990
Name:SWEEZY, ALICIA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SWEEZY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 SPRUCE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4261
Mailing Address - Country:US
Mailing Address - Phone:720-938-9808
Mailing Address - Fax:720-247-9154
Practice Address - Street 1:1526 SPRUCE ST STE 204
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-4261
Practice Address - Country:US
Practice Address - Phone:720-938-9808
Practice Address - Fax:720-247-9154
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional