SHAY LYNN SWAN MS QMHP NPI 1356529754

NPI Information

NPI: 1356529754
Provider Name: SHAY LYNN SWAN, MS QMHP
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
408 E VINE ST
VIENNA, IL
ZIP 62995
Phone: (618) 658-2611
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Shay Lynn Swan, MS QMHP is a counselor in Vienna, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shay Lynn Swan, MS QMHP NPI is 1356529754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

408 E VINE ST
VIENNA, IL
ZIP 62995-612
Phone: (618) 658-2611
Fax: (618) 658-2501

The enumeration date for this NPI number is 2/7/2008 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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