Organization
LEANING RED OAK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN G SWOAP MED, LPC, NCC (OWNER)
(806) 791-1800
Entity
Organization
Contact information
Practice address
3305 66TH ST STE 5, LUBBOCK, TX 79413-5736
(806) 791-1800
(806) 791-1801
Mailing address
3305 66TH ST STE 5, LUBBOCK, TX 79413-5736
(806) 791-1800
(806) 791-1801
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
62246
TX
261QM0850X
Adult Mental Health Clinic/Center
62246
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
62246
TX
Other
Enumeration date
05/22/2018
Last updated
10/28/2020
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