Provider Demographics
NPI:1922446228
Name:SWARTZ, DIANA L (LCPC)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:L
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:MT
Mailing Address - Zip Code:59644-2403
Mailing Address - Country:US
Mailing Address - Phone:307-761-0002
Mailing Address - Fax:
Practice Address - Street 1:108 N FRONT ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MT
Practice Address - Zip Code:59644-2228
Practice Address - Country:US
Practice Address - Phone:406-980-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1474101YP2500X
MTBBH-LCPC-TMP-25423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional