Provider Demographics
NPI:1649541525
Name:STEWART, LAUREN ALISA HERRINGTON (LPC, LMFTA)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ALISA HERRINGTON
Last Name:STEWART
Suffix:
Gender:F
Credentials:LPC, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13230 BLANCO RD APT 1307
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-8245
Mailing Address - Country:US
Mailing Address - Phone:512-569-5323
Mailing Address - Fax:866-558-8148
Practice Address - Street 1:230 SPORTS PARK ROAD
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620
Practice Address - Country:US
Practice Address - Phone:512-569-5323
Practice Address - Fax:866-558-8148
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66352101YP2500X
TX201561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist