Provider Demographics
NPI:1588944649
Name:STUART, RILEY J (LMFT, LEP)
Entity type:Individual
Prefix:MR
First Name:RILEY
Middle Name:J
Last Name:STUART
Suffix:
Gender:M
Credentials:LMFT, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12340 SEAL BEACH BLVD
Mailing Address - Street 2:STE B #634
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2974
Mailing Address - Country:US
Mailing Address - Phone:562-343-9992
Mailing Address - Fax:
Practice Address - Street 1:12340 SEAL BEACH BLVD STE 634B
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-2792
Practice Address - Country:US
Practice Address - Phone:562-343-9992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP4061103TS0200X
CA92395106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool