Provider Demographics
NPI:1942749544
Name:HAZINAKIS-SWAINSTON, PENELOPE J (LPC)
Entity Type:Individual
Prefix:
First Name:PENELOPE
Middle Name:J
Last Name:HAZINAKIS-SWAINSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6278 JOHN MUIR TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-4161
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5525 ERINDALE DR STE 105
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6963
Practice Address - Country:US
Practice Address - Phone:719-350-6600
Practice Address - Fax:719-314-1195
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional