Provider Demographics
NPI:1215474556
Name:SWAFFORD, SARAH MONIC (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MONIC
Last Name:SWAFFORD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5202
Mailing Address - Country:US
Mailing Address - Phone:915-328-4740
Mailing Address - Fax:
Practice Address - Street 1:710 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5202
Practice Address - Country:US
Practice Address - Phone:915-588-1252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional