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Organization

DIRECTIONS WEIGHT MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK SWAYNE LCSW (OWNER)
(682) 429-7066
Entity
Organization

Contact information

Practice address
180 STATE ST STE 225, SOUTHLAKE, TX 76092-7632
(682) 429-7066
Mailing address
2068 PARKRIDGE DR, HURST, TX 76054-3082
(682) 429-7066

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2H7606
MEDICARE
TX
Enumeration date
11/28/2022
Last updated
11/28/2022
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