Healthcare Provider Details

I. General information

NPI: 1841681731
Provider Name (Legal Business Name): ASHLEY SWAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72798 SIERRA VISTA RD
PALM DESERT CA
92260-2731
US

IV. Provider business mailing address

72798 SIERRA VISTA RD
PALM DESERT CA
92260-2731
US

V. Phone/Fax

Practice location:
  • Phone: 760-902-7297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC10582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: