Provider Demographics
NPI:1043070964
Name:SWMH SERVICES LLC
Entity Type:Organization
Organization Name:SWMH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / COO
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:COLE
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S, LCDC
Authorized Official - Phone:806-438-8089
Mailing Address - Street 1:4413 71ST ST STE G101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2319
Mailing Address - Country:US
Mailing Address - Phone:806-438-8089
Mailing Address - Fax:
Practice Address - Street 1:4413 71ST ST STE G101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2319
Practice Address - Country:US
Practice Address - Phone:806-438-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health