Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifestream Behavioral Health

Organization Psychiatry Physician · NPI 1841083912

Lifestream Behavioral Health is a Psychiatry Physician in Largo, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1301 2nd Ave SW Ste 315
Largo, FL 33770-3120
Phone: (727) 820-1177
Fax: (727) 820-1060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1841083912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Fuller — Chief Operating Officer · (603) 494-1458
NPI enumeratedMay 22, 2025
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address1839 Central Ave, St Petersburg, FL 33713-9089

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