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General NPI Number Information
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NPI Number | 1457272114
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Entity Type | Organization
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Legal Business Name | MATTHEW L. SWOFFORD LPC LLC
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1330 CONCORD RD SE STE 207
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City | SMYRNA
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State | GA
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Zip | 30080-4373
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Country | US
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Telephone | 229-630-2819
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Fax | 229-630-2819
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Provider Business Mailing Address
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Address Line | 930 PEEL CASTLE LN
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City | AUSTELL
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State | GA
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Zip | 30106-1466
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Country | US
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Telephone | 229-630-2819
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Fax | 770-828-0694
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | MATTHEW LEE SWOFFORD
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Credential | LPC
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Telephone | 229-630-2819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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