Provider Demographics
NPI:1750717708
Name:SWINSON, LAURYN ELISSA FRANCIS (MED, NCC, LPC)
Entity type:Individual
Prefix:MISS
First Name:LAURYN
Middle Name:ELISSA FRANCIS
Last Name:SWINSON
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:LAURYN
Other - Middle Name:ELISSA
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2390 HURT DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-8474
Mailing Address - Country:US
Mailing Address - Phone:252-544-1817
Mailing Address - Fax:
Practice Address - Street 1:1100 LOGGER CT
Practice Address - Street 2:SUITE C100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8525
Practice Address - Country:US
Practice Address - Phone:919-844-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-20531101YA0400X
NC10011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)