Provider Demographics
NPI:1659980472
Name:OSTROW, STEPHEN (LMHC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:OSTROW
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 1:4905 34TH ST S # 130
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4511
Mailing Address - Country:US
Mailing Address - Phone:727-342-0227
Mailing Address - Fax:
Practice Address - Street 1:14345 SW WALKER RD APT C5
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5940
Practice Address - Country:US
Practice Address - Phone:727-342-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA81560225700000X
FLMH20830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist