Healthcare Provider Details

I. General information

NPI: 1225443054
Provider Name (Legal Business Name): CHRISTOPHER RYAN STEWART LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PENNWICK DR
LITITZ PA
17543-9485
US

IV. Provider business mailing address

10 PENNWICK DR
LITITZ PA
17543-9485
US

V. Phone/Fax

Practice location:
  • Phone: 717-723-8070
  • Fax:
Mailing address:
  • Phone: 717-723-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009067
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1034254920001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: