MEDICARE: CHRISTY CARPENTER LMHC

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	MH22853	FL

General Provider Information

NPI Number	:	1871250365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY CARPENTER LMHC

Provider Business Mailing Address
First Line	:	700 W 23RD ST STE F
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3936
Country	:	US
Telephone Number	:	448-217-4613
Fax Number	:	850-616-0092

Provider Business Practice Location Address
First Line	:	700 W 23RD ST STE F
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-3936
Country	:	US
Telephone Number	:	448-217-4613
Fax Number	:	850-616-0092

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

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	04/06/2026

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Directions to “ CHRISTY CARPENTER LMHC” Practice Location

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