Provider Demographics
NPI:1386474443
Name:TRAE SWEATT COUNSELING AND COACHING
Entity type:Organization
Organization Name:TRAE SWEATT COUNSELING AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MASON
Authorized Official - Middle Name:TRAE
Authorized Official - Last Name:SWEATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-529-7613
Mailing Address - Street 1:PO BOX 5062
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-0062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:307 W PEARL ST
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2408
Practice Address - Country:US
Practice Address - Phone:682-529-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty