Healthcare Provider Details

I. General information

NPI: 1710572490
Provider Name (Legal Business Name): SKYLER STEWART AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 07/23/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 FURUKAWA WAY
SANTA MARIA CA
93458-4929
US

IV. Provider business mailing address

4801 BETHANY LN
SANTA MARIA CA
93455-4852
US

V. Phone/Fax

Practice location:
  • Phone: 805-614-4940
  • Fax:
Mailing address:
  • Phone: 805-266-2173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: