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Organization
SWBA COLLECTIVE
Active
Organization
SWBA COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYKESHIA BURTON (OWNER)
(317) 447-5106
Entity
Organization
Contact information
Practice address
5501 TRAVIS RD, GREENWOOD, IN 46143-5623
(317) 447-5106
Mailing address
5501 TRAVIS RD, GREENWOOD, IN 46143-5623
(317) 447-5106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
111N00000X
Chiropractor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
163WM1400X
Nurse Massage Therapist (NMT)
—
—
163WN1003X
Nutrition Support Registered Nurse
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
—
—
364SH1100X
Holistic Clinical Nurse Specialist
—
—
367A00000X
Advanced Practice Midwife
—
—
374J00000X
Doula
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/12/2025
Last updated
09/23/2025
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