Provider Demographics
NPI:1245448919
Name:SWEENEY, LURLENE DARTON (LCPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:LURLENE
Middle Name:DARTON
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11412 OLD LOTTSFORD RD
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2732
Mailing Address - Country:US
Mailing Address - Phone:301-249-8812
Mailing Address - Fax:301-249-8864
Practice Address - Street 1:6178 OXON HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3109
Practice Address - Country:US
Practice Address - Phone:301-567-4751
Practice Address - Fax:301-567-3856
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional