Healthcare Provider Details

I. General information

NPI: 1134732456
Provider Name (Legal Business Name): CARLTON D HEMPHILL LCPC, LMHC, BC-TMH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7504 N SANIBEL CIR
TEMPLE TERRACE FL
33637-7314
US

IV. Provider business mailing address

7504 N SANIBEL CIR
TEMPLE TERRACE FL
33637-7314
US

V. Phone/Fax

Practice location:
  • Phone: 224-400-3229
  • Fax:
Mailing address:
  • Phone: 224-400-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61599142
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24496
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.015245
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: