Provider Demographics
NPI:1003381138
Name:SWIFT CREEK MENTAL HEALTH SERVICES
Entity Type:Organization
Organization Name:SWIFT CREEK MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:TRACY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP-BC
Authorized Official - Phone:919-424-0062
Mailing Address - Street 1:106 QUARTERPATH
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9791
Mailing Address - Country:US
Mailing Address - Phone:919-862-7101
Mailing Address - Fax:919-704-3674
Practice Address - Street 1:1100 NW MAYNARD RD STE 140
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8707
Practice Address - Country:US
Practice Address - Phone:919-424-0062
Practice Address - Fax:919-704-3674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty