Provider Demographics
NPI:1053011908
Name:SWEEPE, MICHAEL (LMHCA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:SWEEPE
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 KEENE RD BLDG G
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-7706
Mailing Address - Country:US
Mailing Address - Phone:509-619-0519
Mailing Address - Fax:
Practice Address - Street 1:1950 KEENE RD BLDG G
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7706
Practice Address - Country:US
Practice Address - Phone:509-619-0519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61319642101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health