MEDICARE: MRS. SWATI MANNIKAR M.S,LPC

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	101YP2500X	Professional Counselor	19747	TX

General Provider Information

NPI Number	:	1912183732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SWATI MANNIKAR M.S,LPC

Provider Business Mailing Address
First Line	:	5826 NEW TERRITORY BLVD # 326
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5948
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5826 NEW TERRITORY BLVD # 326
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5948
Country	:	US
Telephone Number	:	832-630-3653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	12/17/2012

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