Provider Demographics
NPI:1689984817
Name:STEWART, MESHA K (LCDC)
Entity Type:Individual
Prefix:
First Name:MESHA
Middle Name:K
Last Name:STEWART
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 S CAMDEN PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1802
Mailing Address - Country:US
Mailing Address - Phone:281-520-1923
Mailing Address - Fax:
Practice Address - Street 1:2726 S CAMDEN PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1802
Practice Address - Country:US
Practice Address - Phone:281-520-1923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)