Provider Demographics
NPI:1669045688
Name:CAREN STEWART & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CAREN STEWART & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, LAC, LPC, PH D
Authorized Official - Phone:704-460-2317
Mailing Address - Street 1:800 LEGION ST STE 100E
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4825
Mailing Address - Country:US
Mailing Address - Phone:704-460-2317
Mailing Address - Fax:843-962-5277
Practice Address - Street 1:800 LEGION ST STE 100E
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4825
Practice Address - Country:US
Practice Address - Phone:704-460-2317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)