Provider Demographics
NPI:1558057828
Name:STUART, ANDREW (LMHC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:STUART
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BAYWOOD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-5821
Mailing Address - Country:US
Mailing Address - Phone:518-810-2298
Mailing Address - Fax:518-480-3189
Practice Address - Street 1:8 BAYWOOD DR STE 104
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-5821
Practice Address - Country:US
Practice Address - Phone:518-810-2298
Practice Address - Fax:518-480-3189
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP110072101YM0800X
NY013423101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health