Provider Demographics
NPI:1598010100
Name:SWICK, BETHANNE (LPCC-S)
Entity type:Individual
Prefix:MS
First Name:BETHANNE
Middle Name:
Last Name:SWICK
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 BEECHER XING N STE C
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4565
Mailing Address - Country:US
Mailing Address - Phone:614-459-4990
Mailing Address - Fax:833-450-0907
Practice Address - Street 1:62 WESTERVIEW DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2682
Practice Address - Country:US
Practice Address - Phone:614-459-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC8314101Y00000X
OHE0008314SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor