Provider Demographics
NPI:1497837058
Name:PAULA S STEWART COUNSELING CENTER INC
Entity Type:Organization
Organization Name:PAULA S STEWART COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LMFT
Authorized Official - Phone:561-441-4537
Mailing Address - Street 1:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33425-0434
Mailing Address - Country:US
Mailing Address - Phone:561-441-4537
Mailing Address - Fax:561-265-0806
Practice Address - Street 1:401 W ATLANTIC AVE STE O9
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-3689
Practice Address - Country:US
Practice Address - Phone:561-441-4537
Practice Address - Fax:561-265-0806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1708106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty