Provider Demographics
NPI:1982269858
Name:TROSTEN, DEBORAH MICHELLE (LMHC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MICHELLE
Last Name:TROSTEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 SW 75TH ST APT H51
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-7449
Mailing Address - Country:US
Mailing Address - Phone:352-514-0810
Mailing Address - Fax:
Practice Address - Street 1:5333 SW 75TH ST APT H51
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-7449
Practice Address - Country:US
Practice Address - Phone:352-514-0810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty