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NPI Code Detail

MEDICARE: MS. NICOLE STEWART LPC, LMFT

MEDICARE: MS. NICOLE STEWART LPC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor18911TX
2106H00000XMarriage & Family Therapist5090TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760550909
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE STEWART LPC, LMFT
Provider Business Mailing Address
First Line : 2907 REGATA RUN DR
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-7431
Country : US
Telephone Number : 281-200-9210
Fax Number : 713-400-3549
Provider Business Practice Location Address
First Line : 303 JACKSON HILL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7407
Country : US
Telephone Number : 713-986-3300
Fax Number : 713-986-3353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 11/04/2009

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