Provider Demographics
NPI:1063667905
Name:SWORDS, ALEXIS CALDWELL (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:CALDWELL
Last Name:SWORDS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2582
Mailing Address - Country:US
Mailing Address - Phone:229-244-9688
Mailing Address - Fax:229-244-5354
Practice Address - Street 1:103 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2582
Practice Address - Country:US
Practice Address - Phone:229-244-9688
Practice Address - Fax:229-244-5354
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000146106H00000X
GA001128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist