Provider Demographics
NPI:1003072299
Name:GOLDSTEIN, LORE (LMHC)
Entity type:Individual
Prefix:
First Name:LORE
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:LORE
Other - Middle Name:
Other - Last Name:EARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2001 TUNDRA CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:772-708-6234
Mailing Address - Fax:
Practice Address - Street 1:13727 SW 152 STREET
Practice Address - Street 2:#648
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177
Practice Address - Country:US
Practice Address - Phone:772-237-0804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health