Provider Demographics
NPI:1750938965
Name:TROXTELL, STEVEN DOUGLAS (LMHC, MCAP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DOUGLAS
Last Name:TROXTELL
Suffix:
Gender:M
Credentials:LMHC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 411 BOX 686
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-0007
Mailing Address - Country:US
Mailing Address - Phone:171-685-6641
Mailing Address - Fax:
Practice Address - Street 1:VILSECK BEHAVIORAL HEALTH CLINIC BLDG 260
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:314-590-2486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC010268101YA0400X
FLMH14674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)