Healthcare Provider Details

I. General information

NPI: 1326760034
Provider Name (Legal Business Name): KRISTINA LINN DEMPSTER TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 EDGINGTON AVE
ELDORA IA
50627-1737
US

IV. Provider business mailing address

PO BOX 382
WELLSBURG IA
50680-0382
US

V. Phone/Fax

Practice location:
  • Phone: 641-751-2805
  • Fax:
Mailing address:
  • Phone: 641-751-2805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: