Provider Demographics
NPI:1225229677
Name:STEWART, VICTOR CARLYLE (LCMHC)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:CARLYLE
Last Name:STEWART
Suffix:
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 MARIETTA ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2831
Mailing Address - Country:US
Mailing Address - Phone:828-337-1805
Mailing Address - Fax:
Practice Address - Street 1:30 HENDERSONVILLE RD STE 9
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2396
Practice Address - Country:US
Practice Address - Phone:828-337-1805
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21889101YA0400X
NC6663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)