Provider Demographics
NPI:1710663695
Name:SWARINGEN, ERICA (RCMHI)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SWARINGEN
Suffix:
Gender:F
Credentials:RCMHI
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95117 TIMBERLAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034
Mailing Address - Country:US
Mailing Address - Phone:904-621-0747
Mailing Address - Fax:
Practice Address - Street 1:1890 S 14TH STREET SUITE 110
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034
Practice Address - Country:US
Practice Address - Phone:904-621-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH22585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health