STEWART VENTURES LLC (NPI# 1548717754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548717754 |
| Entity Type | Organization |
| Organization Name | STEWART VENTURES LLC |
| Other Organization Name | STEWART REHABILITATION |
| Practice Address |
3150 Custer Dr Ste 300 and Ste 302 Lexington KY 40517-4010 |
| Practice Telephone | 8593680434 |
| Practice Fax Number | 8593680437 |
| Mailing Telephone | 8593680434 |
| Mailing Fax Number | 8593680437 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | SUSAN C. STEWART (OWNER) |
| Authorized Official Telephone | 8593680434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Stewart Rehabilitation | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Stewart Ventures LLC | 1140 Kestrel Road, Eaton, CO 80615 |
| Washington State Corporations | STEWART VENTURES LLC | 14744 Se 83rd Pl, Newcastle, WA 98059 |
| Street Address |
3150 CUSTER DR STE 300 AND STE 302 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380867 | Barbara M. Slater | Nurse Practitioner | 3150 Custer Dr, Lexington, KY 40517-4010 | 2006-01-10 |
| 1841684032 | Tiffany Irene Brannon | Counselor | 3150 Custer Dr, Suite 103, Lexington, KY 40517-4010 | 2015-03-25 |
| 1154608743 | Lynette Dee Slusher | Counselor | 3150 Custer Dr, Lexington, KY 40517-4010 | 2011-11-09 |
| 1104104371 | Kevin Earl Stanley | Psychologist | 3150 Custer Dr, Suite 201, Lexington, KY 40517-4010 | 2011-07-21 |
| 1609188689 | Summit Health LLC | Clinic/Center | 3150 Custer Dr, 201, Lexington, KY 40517-4010 | 2010-07-08 |
| 1578890968 | Pauline Ruth Siders | Nurse Practitioner | 3150 Custer Dr, Suite 201, Lexington, KY 40517-4010 | 2009-11-06 |
| 1144401738 | The Grove At Lexington | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3150 Custer Dr, Suite 201, Lexington, KY 40517-4010 | 2007-11-24 |
| 1104961952 | Angela M Mudd | Specialist | 3150 Custer Dr, Suite 203, Lexington, KY 40517-4010 | 2007-02-20 |
| 1104971134 | Melissa Ward Ammerman | Social Worker | 3150 Custer Dr, Suite 203, Lexington, KY 40517-4010 | 2007-01-23 |
| 1851492706 | Larry Dean Coy | Social Worker | 3150 Custer Dr, Ste 203, Lexington, KY 40517-4010 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427177716 | Thomas Anthony Hammill Jr. | Psychologist | 207 Swartz Rd, Lexington, SC 29072 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144626458 | Kristi Pack | Psychologist | 921 S Lake Dr, Prestonsburg, KY 41653-1343 | 2014-11-13 |
| 1821210725 | George Raymond Ross | Psychologist | 60 Summertree Court, Nicholasville, KY 40356 | 2007-05-02 |
| 1063421030 | Giovannie C Eugenio | Psychologist | 754 S Hwy 27, Somerset, KY 42501 | 2006-08-07 |
| 1215470224 | Journeypure Kentucky Medical Group LLC | Psychologist | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2016-11-22 |
| 1922419910 | Shelby Cook | Psychologist | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-13 |
| 1497175715 | Richard William Seim | Psychologist | 1000 S Fort Thomas Ave, Fort Thomas, KY 41075-2305 | 2014-04-25 |
| 1457572323 | Mark Anthony Toennis | Psychologist | 4150 Alexandria Pike, Suite 102, Cold Spring, KY 41076-3501 | 2007-05-01 |
| 1558416677 | Carman Ann Parker | Psychologist | 1098 S Mayo Trl, Suite 301, Pikeville, KY 41501-1546 | 2007-01-25 |
Please comment or provide details below to improve the information on STEWART VENTURES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.