Healthcare Provider Details

I. General information

NPI: 1528992658
Provider Name (Legal Business Name): SWADDLE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1870 THE EXCHANGE SE STE 200
ATLANTA GA
30339-2021
US

IV. Provider business mailing address

PO BOX 2854
SMYRNA GA
30081-2854
US

V. Phone/Fax

Practice location:
  • Phone: 470-920-9427
  • Fax:
Mailing address:
  • Phone: 470-920-9427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHELENA DAVIS
Title or Position: OWNER
Credential: LPC
Phone: 470-920-9427