Provider Demographics
NPI:1851102891
Name:O'STEEN, SETH MATTHEW
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:MATTHEW
Last Name:O'STEEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TUGGLE RD
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:GA
Mailing Address - Zip Code:39827-9998
Mailing Address - Country:US
Mailing Address - Phone:229-201-2025
Mailing Address - Fax:
Practice Address - Street 1:101 TUGGLE RD
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:GA
Practice Address - Zip Code:39827-9998
Practice Address - Country:US
Practice Address - Phone:229-201-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No372600000XNursing Service Related ProvidersAdult Companion