Bernal, Tabitha

Bernal, Tabitha is an individual health care provider with primary practice located at 27 Golf Terrace Dr Apt 211 , Winter Springs FL 32708-5725. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bernal, Tabitha can be contacted via phone (904) 314-9740.

Contact Information

Primary practice address
27 Golf Terrace Dr Apt 211 Winter Springs FL 32708-5725
Phone: (904) 314-9740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MT3478 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT3478 Florida

Profile Details

NPI number 1982188140
LBN Legal business name Bernal, Tabitha
Credentials LMFT, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2018
Last updated Oct 8th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982188140 NPPES
Florida MEDICAID 1982188140

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