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NPI Code Detail

MEDICARE: KRYSTEN HAFNER LMHC, MS

MEDICARE: KRYSTEN HAFNER LMHC, MS
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
1101YM0800XMental Health CounselorMH27253FL

General Provider Information

NPI Number : 1790636330
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTEN HAFNER LMHC, MS
Provider Business Mailing Address
First Line : 2520 13TH AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33713-5805
Country : US
Telephone Number : 402-740-4578
Fax Number :
Provider Business Practice Location Address
First Line : 34125 US HIGHWAY 19 N STE 200
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2115
Country : US
Telephone Number : 727-487-1185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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