Organization Active NPI

Coplan Therapeutic Ministries LLC

  • Clinical Social Worker
  • Pensacola, FL
National Provider Identifier
1871883280
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9413 Issued in FL
Legal business name
COPLAN THERAPEUTIC MINISTRIES LLC
Practice address
1508 W la Rua St
Pensacola, FL 32501-3633
Phone
(850) 529-6264
Fax
(850) 696-2347
NPI assigned
Apr 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Lonnie James Swanagan, LCSW
Title
Owner/Therapist
Phone
(850) 529-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9413 FL Primary

Addresses

Primary practice location

1508 W la Rua St
Pensacola, FL 32501-3633

Mailing address

1508 W la Rua St
Pensacola, FL 32501-3633
Phone (850) 529-6264

National Provider Directory

National Provider Directory

Locations

1508 W La Rua St
Pensacola, FL 32501
Phone (850) 529-6264

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1871883280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013633",
            "telephone_number": "850-529-6264",
            "fax_number": "850-696-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325013633",
            "telephone_number": "850-529-6264",
            "fax_number": "850-696-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPLAN THERAPEUTIC MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SWANAGAN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "850-529-6264",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.