Individual
TRACY HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4107 W SPRUCE ST, SUITE 100, TAMPA, FL 33607-2327
(813) 636-8811
(813) 636-8855
Mailing address
5119 W POE AVE, TAMPA, FL 33629-7526
(813) 495-7363
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015995000
—
FL
Enumeration date
06/07/2014
Last updated
01/06/2016
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