Doctor Name: | DR. STEVE ELDON LIVINGSTON |
NPI Number: | 1407061153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | MH 0879 |
Business Practice Address: | 2591 N Oceanshore Blvd Flagler Beach, FL - 321362725 |
Business Phone Number: | 8505592579 |
Business Fax Number: | |
Mailing Address: | 2591 N Oceanshore Blvd, FLAGLER BEACH |
State: | FL |
Postal Code: | 321362725 |
Phone Number: | 8505592579 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 0879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |