MEDICARE: MS. FLORA A OSTROW LMHC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00004855	WA
2	106H00000X	Marriage & Family Therapist	LF00001392	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LF00001392	OTHER	WA	LMFT
2	LH00004855	OTHER	WA	LMHC

General Provider Information

NPI Number	:	1952579278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FLORA A OSTROW LMHC, LMFT

Provider Business Mailing Address
First Line	:	1314 NE 43RD ST
Second Line	:	SUITE 214
City	:	SEATTLE
State	:	WA
Zip	:	98105-5832
Country	:	US
Telephone Number	:	206-632-2782
Fax Number	:

Provider Business Practice Location Address
First Line	:	1314 NE 43RD ST
Second Line	:	SUITE 214
City	:	SEATTLE
State	:	WA
Zip	:	98105-5832
Country	:	US
Telephone Number	:	206-632-2782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/20/2008

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