Provider Demographics
NPI:1023644754
Name:HEMPHILL, VEANDA L (LPC)
Entity type:Individual
Prefix:
First Name:VEANDA
Middle Name:L
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31820-0413
Mailing Address - Country:US
Mailing Address - Phone:706-762-6659
Mailing Address - Fax:833-501-0297
Practice Address - Street 1:1443B 2ND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2123
Practice Address - Country:US
Practice Address - Phone:706-610-0383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011336101YP2500X
GA011336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional