| Lifestream Behavioral Health | |
|
1301 2nd Ave Sw Ste 315 Largo FL 33770-3120 | |
| (727) 820-1177 | |
| (727) 820-1060 |
| Full Name | Lifestream Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1301 2nd Ave Sw Ste 315, Largo, Florida |
| Authorized Official Name and Position | William Fuller (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6034941458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestream Behavioral Health 1839 Central Ave St Petersburg FL 33713-9089 Ph: (603) 494-1458 | Lifestream Behavioral Health 1301 2nd Ave Sw Ste 315 Largo FL 33770-3120 Ph: (727) 820-1177 |
| NPI Number | 1841083912 |
|---|---|
| Provider Enumeration Date | 05/22/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841083912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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