Provider Demographics
NPI:1104971118
Name:STEWART, SHIRLEE M (LMSW LMFT)
Entity type:Individual
Prefix:
First Name:SHIRLEE
Middle Name:M
Last Name:STEWART
Suffix:
Gender:F
Credentials:LMSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 PRESTON RD STE 260
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-991-8080
Mailing Address - Fax:972-991-8034
Practice Address - Street 1:12700 PRESTON RD
Practice Address - Street 2:STE 260
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-991-8080
Practice Address - Fax:972-991-8034
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist