Provider Demographics
NPI:1780110288
Name:SWEATT, APRYLE (NCC, LPC)
Entity type:Individual
Prefix:
First Name:APRYLE
Middle Name:
Last Name:SWEATT
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 PARK PL
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1718
Mailing Address - Country:US
Mailing Address - Phone:814-508-8110
Mailing Address - Fax:814-509-8106
Practice Address - Street 1:429 PARK PL
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-1718
Practice Address - Country:US
Practice Address - Phone:814-509-8110
Practice Address - Fax:814-509-8106
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009581101YP2500X
PABH002668103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025765450004Medicaid