| Swan's Therapeutic Services Pllc | |
|
136 Mangum Cir Mooresville NC 28117-6916 | |
| (803) 290-3081 | |
| Not Available |
| Full Name | Swan's Therapeutic Services Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 136 Mangum Cir, Mooresville, North Carolina |
| Authorized Official Name and Position | Dishema S. Shuler (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3364569907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan's Therapeutic Services Pllc 136 Mangum Cir Mooresville NC 28117-6916 Ph: (803) 290-3081 | Swan's Therapeutic Services Pllc 136 Mangum Cir Mooresville NC 28117-6916 Ph: (803) 290-3081 |
| NPI Number | 1982026282 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982026282 | NPI | - | NPPES |
| 1982026282 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008432 (North Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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