Provider Demographics
NPI:1669027488
Name:SHELBY BRASWELL SCHWING
Entity Type:Organization
Organization Name:SHELBY BRASWELL SCHWING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRASWELL SCHWING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:830-377-8081
Mailing Address - Street 1:610 METHODIST ENCAMPMENT RD
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-2834
Mailing Address - Country:US
Mailing Address - Phone:830-377-8081
Mailing Address - Fax:
Practice Address - Street 1:610 METHODIST ENCAMPMENT RD
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-2834
Practice Address - Country:US
Practice Address - Phone:830-377-8081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty