Provider Demographics
NPI:1902906910
Name:O'STEEN, PEGGY M (MA LPC CCMHC)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:M
Last Name:O'STEEN
Suffix:
Gender:F
Credentials:MA LPC CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 N WALNUT STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630
Mailing Address - Country:US
Mailing Address - Phone:256-766-6858
Mailing Address - Fax:256-766-6807
Practice Address - Street 1:208 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4754
Practice Address - Country:US
Practice Address - Phone:256-766-6858
Practice Address - Fax:256-766-6807
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional