Organization
SWAG MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE TAYLOR PMHNP (PARTNER)
(239) 225-2180
Entity
Organization
Contact information
Practice address
8260 COLLEGE PKWY STE 202, FORT MYERS, FL 33919-5105
(239) 225-2180
(563) 228-4091
Mailing address
235 JESSICAS WAY, JOHNSON CITY, TN 37615-2798
(239) 225-2180
(563) 228-4091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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