Provider Demographics
NPI:1609576842
Name:SWASEY, CHRISTINE (LCDC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SWASEY
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 202389
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-8389
Mailing Address - Country:US
Mailing Address - Phone:833-597-2273
Mailing Address - Fax:833-681-8901
Practice Address - Street 1:1900 BALLPARK WAY STE 108
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6627
Practice Address - Country:US
Practice Address - Phone:833-597-2273
Practice Address - Fax:833-681-8901
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13034101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)