Provider Demographics
NPI:1326255688
Name:STEWART, CILOUE CHENG (PHD, LCMFT)
Entity Type:Individual
Prefix:DR
First Name:CILOUE
Middle Name:CHENG
Last Name:STEWART
Suffix:
Gender:F
Credentials:PHD, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 W 76TH CIR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-4233
Mailing Address - Country:US
Mailing Address - Phone:913-645-9708
Mailing Address - Fax:913-248-8616
Practice Address - Street 1:10801 W 87TH ST STE 300
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1699
Practice Address - Country:US
Practice Address - Phone:913-438-2100
Practice Address - Fax:913-438-2119
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT 308106H00000X
MOLMFT 2004019051106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist