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 provides Psychiatry Physician services 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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