Provider Demographics
NPI:1942965215
Name:O'STEEN, DIAMOND D'ANGELO (LPC)
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:D'ANGELO
Last Name:O'STEEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2869 NEW MONROE RD
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-1429
Mailing Address - Country:US
Mailing Address - Phone:318-538-0500
Mailing Address - Fax:318-538-0506
Practice Address - Street 1:2869 NEW MONROE RD
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-1429
Practice Address - Country:US
Practice Address - Phone:318-538-0500
Practice Address - Fax:318-538-0506
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC7748101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health