Provider Demographics
NPI:1619391885
Name:RHINEHART, KRISTI ELLEN (LMHC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:ELLEN
Last Name:RHINEHART
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5498 E CALLE DE LA PALMERA
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-8941
Mailing Address - Country:US
Mailing Address - Phone:520-335-8044
Mailing Address - Fax:
Practice Address - Street 1:174 S CORONADO DR STE B
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-6356
Practice Address - Country:US
Practice Address - Phone:520-435-9027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-09
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0181861101YA0400X
AZLAC-21890101YM0800X
NMCMH0222031101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)