Provider Demographics
NPI:1720122419
Name:SWORD, ALEXIS CHRISTINA (MFT)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:CHRISTINA
Last Name:SWORD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24520 HAWTHORNE BLVD
Mailing Address - Street 2:#103
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6800
Mailing Address - Country:US
Mailing Address - Phone:310-691-6166
Mailing Address - Fax:
Practice Address - Street 1:24520 HAWTHORNE BLVD
Practice Address - Street 2:#103
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6800
Practice Address - Country:US
Practice Address - Phone:310-691-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC48692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist