Provider Demographics
NPI:1295160471
Name:SWINK, AMY (MA, LPC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SWINK
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 1:8 W DRY CREEK CIR STE 207
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8082
Mailing Address - Country:US
Mailing Address - Phone:303-596-5583
Mailing Address - Fax:
Practice Address - Street 1:8 W DRY CREEK CIR STE 207
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8082
Practice Address - Country:US
Practice Address - Phone:303-596-5583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional