Healthcare Provider Details

I. General information

NPI: 1508076308
Provider Name (Legal Business Name): SHEILA RANEE STEWART LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 W SWON AVE
SAINT LOUIS MO
63119-3646
US

IV. Provider business mailing address

459 W SWON AVE
SAINT LOUIS MO
63119-3646
US

V. Phone/Fax

Practice location:
  • Phone: 314-814-0752
  • Fax:
Mailing address:
  • Phone: 314-814-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2005016777
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9062
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: