Provider Demographics
NPI:1497766935
Name:STEWART, LORRAINE HARRIOT (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:HARRIOT
Last Name:STEWART
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 STONELEDGE RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748-3704
Mailing Address - Country:US
Mailing Address - Phone:508-991-3354
Mailing Address - Fax:
Practice Address - Street 1:386 STANLEY ST.
Practice Address - Street 2:STANLEY STREET TREATMENT AND RESOURCES,
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-679-5222
Practice Address - Fax:508-673-3182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70010000LM0801OtherBLUE CROSS BLUE SHIELD