Provider Demographics
NPI:1063747079
Name:DEPAUL, KRISTI K (LMHC)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:K
Last Name:DEPAUL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:K
Other - Last Name:BARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:5707 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4350
Mailing Address - Country:US
Mailing Address - Phone:813-239-8000
Mailing Address - Fax:813-272-3766
Practice Address - Street 1:5707 N 22ND ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4350
Practice Address - Country:US
Practice Address - Phone:813-239-8000
Practice Address - Fax:813-272-3766
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health