Healthcare Provider Details

I. General information

NPI: 1891461281
Provider Name (Legal Business Name): AMMY SWABY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM AL
35209-1302
US

IV. Provider business mailing address

2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM AL
35209-1317
US

V. Phone/Fax

Practice location:
  • Phone: 205-775-6037
  • Fax:
Mailing address:
  • Phone: 205-775-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number5451G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: