Provider Demographics
NPI:1467590182
Name:STEWART, BROOKE NICOLE (LPC-MHSP)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:NICOLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MRS
Other - First Name:BROOKE
Other - Middle Name:STEWART
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:7626 ASHSTONE CV
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1703
Mailing Address - Country:US
Mailing Address - Phone:901-619-7056
Mailing Address - Fax:
Practice Address - Street 1:3200 BROAD AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3104
Practice Address - Country:US
Practice Address - Phone:901-619-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health