MEDICARE: SWINDLING FAMILY COMPANY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720719826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWINDLING FAMILY COMPANY LLC

Provider Business Mailing Address
First Line	:	3014 FORESTBROOK DR N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-1610
Country	:	US
Telephone Number	:	775-764-7450
Fax Number	:

Provider Business Practice Location Address
First Line	:	3014 FORESTBROOK DR N
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33811-1610
Country	:	US
Telephone Number	:	775-764-7450
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICKIE SWINDLING
Credential	:	LCSW
Telephone Number	:	775-764-7450

Provider Enumeration Date	:	06/20/2022
Last Update Date	:	08/12/2022

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