Provider Demographics
NPI:1356727523
Name:SWART, ADAM LEE (LPC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:LEE
Last Name:SWART
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 NE HIGHWAY 101 STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-4464
Mailing Address - Country:US
Mailing Address - Phone:541-921-3584
Mailing Address - Fax:541-614-1291
Practice Address - Street 1:2600 NE HIGHWAY 101 STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-4464
Practice Address - Country:US
Practice Address - Phone:541-921-3584
Practice Address - Fax:541-614-1291
Is Sole Proprietor?:No
Enumeration Date:2015-08-10
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4928101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health