Provider Demographics
NPI:1215938675
Name:SWIFT, GEORGE WARREN (LPC)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:WARREN
Last Name:SWIFT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4225
Mailing Address - Country:US
Mailing Address - Phone:540-246-3348
Mailing Address - Fax:540-574-2214
Practice Address - Street 1:481 E MARKET ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4225
Practice Address - Country:US
Practice Address - Phone:540-246-3348
Practice Address - Fax:405-574-2214
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002546101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA254900000OtherMAGELLAN