Healthcare Provider Details

I. General information

NPI: 1982635280
Provider Name (Legal Business Name): GREGORY LEE STEWART M.ED., LMHC, CADACIV
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 VISSING PARK RD
JEFFERSONVILLE IN
47130-5989
US

IV. Provider business mailing address

4229 SILVER GLADE TRL
SELLERSBURG IN
47172-1774
US

V. Phone/Fax

Practice location:
  • Phone: 812-284-8000
  • Fax:
Mailing address:
  • Phone: 812-848-0780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number39001474A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39001474A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: