Provider Demographics
NPI:1891224788
Name:SWANN WELLNESS GROUP
Entity Type:Organization
Organization Name:SWANN WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-986-9130
Mailing Address - Street 1:PO BOX 141
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35005-0141
Mailing Address - Country:US
Mailing Address - Phone:205-986-9130
Mailing Address - Fax:205-449-3160
Practice Address - Street 1:530 BEACON PKWY W STE 740
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-3196
Practice Address - Country:US
Practice Address - Phone:205-986-9130
Practice Address - Fax:205-449-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty