Provider Demographics
NPI:1043349814
Name:STEWART, JUANIKI (LMFT,LCDC)
Entity Type:Individual
Prefix:MS
First Name:JUANIKI
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:LMFT,LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 BEE CAVE RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5391
Mailing Address - Country:US
Mailing Address - Phone:888-657-2377
Mailing Address - Fax:
Practice Address - Street 1:3530 BEE CAVE RD
Practice Address - Street 2:SUITE 217
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5391
Practice Address - Country:US
Practice Address - Phone:888-657-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5335101YA0400X
TX3412106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)