Provider Demographics
NPI:1477867307
Name:STEWART, WARRICK TREMAYNE (EDD, CRC, LPC,)
Entity Type:Individual
Prefix:DR
First Name:WARRICK
Middle Name:TREMAYNE
Last Name:STEWART
Suffix:
Gender:M
Credentials:EDD, CRC, LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8409 DUNWOODY PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3367
Mailing Address - Country:US
Mailing Address - Phone:704-901-4916
Mailing Address - Fax:800-291-7239
Practice Address - Street 1:8409 DUNWOODY PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-3367
Practice Address - Country:US
Practice Address - Phone:704-901-4916
Practice Address - Fax:800-291-7239
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8058101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health