Provider Demographics
NPI:1346980414
Name:RHEBB, KRISTI LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEE
Last Name:RHEBB
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2368 MIDDLETON AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4747
Mailing Address - Country:US
Mailing Address - Phone:402-202-6731
Mailing Address - Fax:
Practice Address - Street 1:2368 MIDDLETON AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4747
Practice Address - Country:US
Practice Address - Phone:402-202-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2612106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist