Stewart Ventures LLC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

STEWART VENTURES LLC

Practice address

3150 Custer Dr
Ste 300 and Ste 302
Lexington, KY 40517-4010

Phone

(859) 368-0434

Fax

(859) 368-0437

NPI assigned

Sep 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan C. Stewart

Title

Owner

Phone

(859) 368-0434

Specialties & licenses 1

Addresses

Other names 1

• Stewart Rehabilitation Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1548717754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR",
            "address_2": "STE 300 AND STE 302",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "859-368-0434",
            "fax_number": "859-368-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CUSTER DR",
            "address_2": "STE 300 AND STE 302",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174010",
            "telephone_number": "859-368-0434",
            "fax_number": "859-368-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-368-0434"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Stevens, M.D.
• Tammy Lynn Stevens, BACHELOR OF SCIENCE
• Da'Keisha Stevenson, LPCC-S
• Jacrissa S. Stevenson, LCSW
• Sahara Shay Stevenson, LCSW
• Anna Dee Stewart-Wilcox, CSW
• Aidan Michael Stewart
• Alicia Stewart, LCSW
• Ashley Stewart, PHARMD
• Bethany Stewart

• Addiction (Substance Use Disorder) Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Addiction (Substance Use Disorder) Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.