| Robert E Swope | |
|
7030 Lee Hwy Ste 102 Chattanooga TN 37421-6795 | |
| (423) 838-2593 | |
| (866) 446-0276 |
| Full Name | Robert E Swope |
|---|---|
| Speciality | Counselor |
| Location | 7030 Lee Hwy Ste 102, Chattanooga, Tennessee |
| Authorized Official Name and Position | Robert Eugene Swope (SOLE MEMBER) |
| Authorized Official Contact | 4238382593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Swope 7030 Lee Hwy Ste 102 Chattanooga TN 37421-6795 Ph: (423) 838-2593 | Robert E Swope 7030 Lee Hwy Ste 102 Chattanooga TN 37421-6795 Ph: (423) 838-2593 |
| NPI Number | 1972372340 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 7618311002 |
|---|---|
| Medicare Enrollment ID | O20240213003520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972372340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Robert Eugene Swope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174680433 PECOS PAC ID: 4082065453 Enrollment ID: I20240110001729 |
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