Provider Demographics
NPI:1952060477
Name:SWAID, RANINE (LLMFT)
Entity Type:Individual
Prefix:
First Name:RANINE
Middle Name:
Last Name:SWAID
Suffix:
Gender:F
Credentials:LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4958 HEATHER DR APT 104
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2861
Mailing Address - Country:US
Mailing Address - Phone:510-358-1117
Mailing Address - Fax:
Practice Address - Street 1:4958 HEATHER DR APT 104
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2861
Practice Address - Country:US
Practice Address - Phone:510-358-1117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001035106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist