Organization
SOCIAL WELLNESS ADVOCACY GROUP, LLC
Active
Other names
SWAG
Organization subpart
No
Provider details
NPI number
Authorized official
TEKISHA DURAND RCSWI (CEO/DIRECTOR)
(786) 707-5713
Entity
Organization
Contact information
Practice address
41 NE 95TH ST, MIAMI SHORES, FL 33138-2706
(786) 707-5713
Mailing address
890 NW 213TH TER APT 203, MIAMI GARDENS, FL 33169-2181
(786) 707-5713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952785388
—
FL
Enumeration date
07/18/2019
Last updated
07/18/2019
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