MEDICARE: CRISTIN O'BRIEN LMHC, MT-BC

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	39003805A	IN
2	225A00000X	Music Therapist	10246
3	101YM0800X	Mental Health Counselor	MH19858	FL

General Provider Information

NPI Number	:	1215533013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTIN O'BRIEN LMHC, MT-BC

Provider Business Mailing Address
First Line	:	3400 OLD BAINBRIDGE RD APT 401
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-2678
Country	:	US
Telephone Number	:	260-205-2636
Fax Number	:

Provider Business Practice Location Address
First Line	:	2874 REMINGTON GREEN CIR STE A
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-1504
Country	:	US
Telephone Number	:	850-778-1460
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	07/16/2025

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