Provider Demographics
NPI:1598338717
Name:SWOPSHIRE, ASIA ALEXANDRA (LPC-MHSP, LADAC II)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:ALEXANDRA
Last Name:SWOPSHIRE
Suffix:
Gender:F
Credentials:LPC-MHSP, LADAC II
Other - Prefix:
Other - First Name:ASIA
Other - Middle Name:ALEXANDRA
Other - Last Name:MCINTYRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP, LADAC II
Mailing Address - Street 1:3539 WATAUGA AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-5921
Mailing Address - Country:US
Mailing Address - Phone:662-312-3053
Mailing Address - Fax:
Practice Address - Street 1:3539 WATAUGA AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-5921
Practice Address - Country:US
Practice Address - Phone:662-312-3053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-24
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4784101Y00000X, 101YM0800X
TN1377101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)