Provider Demographics
NPI:1952805509
Name:HAMBERG, BARBARA (MS, RMHCI)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:HAMBERG
Suffix:
Gender:F
Credentials:MS, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 DELTONA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8016
Mailing Address - Country:US
Mailing Address - Phone:386-259-5413
Mailing Address - Fax:386-753-9265
Practice Address - Street 1:111 E MONUMENT AVE UNIT 513
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5779
Practice Address - Country:US
Practice Address - Phone:386-259-5413
Practice Address - Fax:386-753-9265
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16921101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIMH16921OtherREGISTERED MENTAL HEALTH COUNSELOR INTERN NUMBER