Provider Demographics
NPI:1316796485
Name:SWAFFORD, MOUNIRA AIMEE (PLPC)
Entity type:Individual
Prefix:MRS
First Name:MOUNIRA
Middle Name:AIMEE
Last Name:SWAFFORD
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:MOUNIRA
Other - Middle Name:AIMEE
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:LA
Mailing Address - Zip Code:70638-0580
Mailing Address - Country:US
Mailing Address - Phone:318-215-6051
Mailing Address - Fax:318-634-5218
Practice Address - Street 1:440 LIVE OAK
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:LA
Practice Address - Zip Code:70638
Practice Address - Country:US
Practice Address - Phone:337-208-2148
Practice Address - Fax:318-634-5218
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC8496101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool