1730568783 NPI number — MRS. RYLEE SWAN LESTER LCSW

Table of content: MRS. RYLEE SWAN LESTER LCSW (NPI 1730568783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730568783 NPI number — MRS. RYLEE SWAN LESTER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LESTER
Provider First Name:
RYLEE
Provider Middle Name:
SWAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SWAN
Provider Other First Name:
RYLEE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730568783
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COKEVILLE
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
83114-0116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-380-3710
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 116
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COKEVILLE
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
83114-0116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-380-3710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCSW-1659 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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