Provider Demographics
NPI:1639041163
Name:STEWART, HAILEY ALEXUS
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:ALEXUS
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17507 STERLING STONE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-2765
Mailing Address - Country:US
Mailing Address - Phone:713-380-5248
Mailing Address - Fax:
Practice Address - Street 1:17507 STERLING STONE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-2765
Practice Address - Country:US
Practice Address - Phone:713-380-5248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO23-267198106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician