Swag Mental Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SWAG MENTAL HEALTH SERVICES LLC

Practice address

8260 College Pkwy Ste 202
Fort Myers, FL 33919-5105

Phone

(239) 225-2180

Fax

(563) 228-4091

NPI assigned

Jul 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leslie Taylor, PMHNPNPI 1477264000

Title

Partner

Phone

(239) 225-2180

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Taylor, APRN

  • Nurse Practitioner
  • Fort Myers, FL
  • NPI 1477264000

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Dumas, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1780138008
  Medicare reassignment Care Compare group NPD
• Toni Denise Sanchez, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1588195754
  Medicare reassignment NPD
• Bethaney Lynne Hoffacker, MA, LMHC-QS

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1003171620
  NPD (past)
• Mary Elizabeth Stonebraker, NP-C

  • Nurse Practitioner
  • Cape Coral, FL
  • NPI 1922554583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1386482800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 JESSICAS WAY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376152798",
            "telephone_number": "239-225-2180",
            "fax_number": "563-228-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 COLLEGE PKWY STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195105",
            "telephone_number": "239-225-2180",
            "fax_number": "563-228-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAG MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "239-225-2180",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inesa Sviridova, PA
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• SW Florida Radiology LLC
• SW Rehabilitation Center Inc
• Haley Swackhammer, PTA
• David Swan, MS,CCC/SLP
• Janice Lynn Swanger
• Peggy Sue Swann, APRN
• Christy Anne Swanson, D.M.D.
• Elaina Rose Swanson, MA

• Psychiatric/Mental Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.