Provider Demographics
NPI:1790357804
Name:HEMPSTED, CHRISTINE DIEBEL (LMHC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:DIEBEL
Last Name:HEMPSTED
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 1:2009 OAKHURST AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2578
Mailing Address - Country:US
Mailing Address - Phone:321-228-8273
Mailing Address - Fax:
Practice Address - Street 1:2009 OAKHURST AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2578
Practice Address - Country:US
Practice Address - Phone:321-228-8273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3962101YS0200X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool