Provider Demographics
NPI:1528457447
Name:HEMPHILL, VICTORIA LIVIYA (DACM, MA)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LIVIYA
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:DACM, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 CALLE DE LA VUELTA UNIT E104
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4819
Mailing Address - Country:US
Mailing Address - Phone:505-660-7860
Mailing Address - Fax:
Practice Address - Street 1:2100 CALLE DE LA VUELTA UNIT E104
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4819
Practice Address - Country:US
Practice Address - Phone:505-660-7860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-15
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF82655106H00000X
CA18911171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist