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Provider Information for 1619683364


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SANDY MICHELLE SEWARD LPC


Sex: Female

NPI: 1619683364
Last Updated: 2023-01-26
Certification Date: 2023-01-26

Details

NameValue
NPI1619683364
Enumeration Date2023-01-26
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3866 RIVERVIEW CIR
ROBSTOWN, TX 78380-5883
United States

Phone: 361-442-6376 | Fax:
 
Primary Practice Address 3866 RIVERVIEW CIR
ROBSTOWN, TX 78380-5883
United States

Phone: 361-442-6376 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor TX84753
No 101YM0800X - Counselor - Mental HealthTX84753
Yes 101YP2500X - Counselor - ProfessionalTX84753