Provider Demographics
NPI:1497022818
Name:SWOAP, KRISTIN G (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:G
Last Name:SWOAP
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 66TH STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79413-5736
Mailing Address - Country:US
Mailing Address - Phone:806-791-1800
Mailing Address - Fax:806-791-1801
Practice Address - Street 1:3305 66TH STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-5736
Practice Address - Country:US
Practice Address - Phone:806-791-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62246101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor