Provider Demographics
NPI:1639415375
Name:GOLUB, STEVE M (LMHC)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:M
Last Name:GOLUB
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2486 BREAKWATER CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-5527
Mailing Address - Country:US
Mailing Address - Phone:941-921-1281
Mailing Address - Fax:
Practice Address - Street 1:630 S ORANGE AVE
Practice Address - Street 2:SUITE 301D
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7504
Practice Address - Country:US
Practice Address - Phone:941-321-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health