MEDICARE: CARLTON D HEMPHILL LCPC, LMHC, BC-TMH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61599142	WA
2	101YP2500X	Professional Counselor	LPC-24496	AZ
3	101YP2500X	Professional Counselor	180.015245	IL

General Provider Information

NPI Number	:	1134732456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLTON D HEMPHILL LCPC, LMHC, BC-TMH

Provider Business Mailing Address
First Line	:	7504 N SANIBEL CIR
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-7314
Country	:	US
Telephone Number	:	224-400-3229
Fax Number	:

Provider Business Practice Location Address
First Line	:	7504 N SANIBEL CIR
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-7314
Country	:	US
Telephone Number	:	224-400-3229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	12/17/2025

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