Provider Demographics
NPI:1841462793
Name:OSTEEN, STEPHANIE LAUREN (BA)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LAUREN
Last Name:OSTEEN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:LAUREN
Other - Last Name:HYRDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:200 AVENUE F NE
Mailing Address - Street 2:BEHAVIORAL HEALTH DIVISION
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-293-1121
Mailing Address - Fax:863-291-6084
Practice Address - Street 1:1201 FIRST STREET SOUTH
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880
Practice Address - Country:US
Practice Address - Phone:863-294-7062
Practice Address - Fax:863-291-6084
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator