Provider Demographics
NPI:1144945551
Name:STEWARD, CARAQUITA (THERAPIST/COUNSELOR)
Entity type:Individual
Prefix:
First Name:CARAQUITA
Middle Name:
Last Name:STEWARD
Suffix:
Gender:F
Credentials:THERAPIST/COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15859 LUDLOW ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5441
Mailing Address - Country:US
Mailing Address - Phone:818-339-3106
Mailing Address - Fax:
Practice Address - Street 1:11537 HELA AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-7216
Practice Address - Country:US
Practice Address - Phone:818-339-3106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician