Provider Demographics
NPI:1174904262
Name:SWAIM, BRANDON KYLE (LMFT)
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:KYLE
Last Name:SWAIM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 JUNIPER DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-4609
Mailing Address - Country:US
Mailing Address - Phone:256-426-7317
Mailing Address - Fax:
Practice Address - Street 1:2320 JUNIPER DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-4609
Practice Address - Country:US
Practice Address - Phone:256-426-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL423106H00000X
TN1217106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist