Provider Demographics
NPI:1184354938
Name:SWINTON, SAMANTHA (LPC, LCDC, NCC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SWINTON
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LABOR ST APT 5215
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-1492
Mailing Address - Country:US
Mailing Address - Phone:202-306-2585
Mailing Address - Fax:
Practice Address - Street 1:300 LABOR ST APT 5215
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-1492
Practice Address - Country:US
Practice Address - Phone:202-306-2585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health