Tabisula, Misty

Tabisula, Misty is an sole proprietor health care provider with primary practice located at 320 Osuna Rd Ne Ste H4 , Albuquerque NM 87107-5955. 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. Tabisula, Misty can be contacted via phone (505) 345-2778.

Contact Information

Primary practice address
320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955
Phone: (505) 345-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC008435 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT001348 Georgia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X CMF0197861 New Mexico
Behavioral Health & Social Service Providers / Counselor 101Y00000X CCMH0201901 New Mexico

Profile Details

NPI number 1255812624
LBN Legal business name Tabisula, Misty
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2018
Last updated Sep 29th, 2020 - about 5 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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