Provider Demographics
NPI:1669147880
Name:SWEET, STEVEN JR (MED, MDIV, DMIN)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SWEET
Suffix:JR
Gender:M
Credentials:MED, MDIV, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 BUCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-8508
Mailing Address - Country:US
Mailing Address - Phone:828-387-1374
Mailing Address - Fax:
Practice Address - Street 1:1334 BUCK HILL RD
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8508
Practice Address - Country:US
Practice Address - Phone:828-387-1374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical