Provider Demographics
NPI:1104794916
Name:SWINTON, ERICA
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SWINTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2481 NW 12TH CT
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-1835
Mailing Address - Country:US
Mailing Address - Phone:786-810-4180
Mailing Address - Fax:786-810-4180
Practice Address - Street 1:345 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-2050
Practice Address - Country:US
Practice Address - Phone:954-304-9770
Practice Address - Fax:954-304-9775
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH27198101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health