Provider Demographics
NPI:1215633300
Name:SOWARD, MICHAEL D (MA)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:SOWARD
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 TWIN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2242
Mailing Address - Country:US
Mailing Address - Phone:615-810-8180
Mailing Address - Fax:615-810-8180
Practice Address - Street 1:107 TWIN HILLS DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2242
Practice Address - Country:US
Practice Address - Phone:615-810-8180
Practice Address - Fax:615-810-8180
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health