Healthcare Provider Details

I. General information

NPI: 1629881412
Provider Name (Legal Business Name): SSWIGART INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27502 AMETHYST WAY
CASTAIC CA
91384-3166
US

IV. Provider business mailing address

PO BOX 83
CASTAIC CA
91310-0083
US

V. Phone/Fax

Practice location:
  • Phone: 760-250-1195
  • Fax: 760-205-8511
Mailing address:
  • Phone: 760-250-1195
  • Fax: 760-205-8511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON MARIE SWIGART
Title or Position: MARRIAGE & FAMILY THERAPIST, OWNER
Credential: LMFT
Phone: 760-250-1195