Provider Demographics
NPI:1689439036
Name:SWAIN-SEARS, MORGAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:SWAIN-SEARS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6515
Mailing Address - Country:US
Mailing Address - Phone:312-927-7144
Mailing Address - Fax:
Practice Address - Street 1:700 CHERRY ST
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-6515
Practice Address - Country:US
Practice Address - Phone:312-927-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY12143103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling