Tabitha Bernal, LMFT, NCC
Individual provider Active NPI Marriage & Family Therapist · Winter Springs, FL
NPI 1982188140 · NPPES record last updated Oct 8, 2018
Key facts
- NPI
- 1982188140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MT3478 (FL)
- Practice address
- 27 Golf Terrace Dr Apt 211
Winter Springs, FL 32708-5725 - Phone
- (904) 314-9740
- NPI assigned
- Sep 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3478 | FL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MT3478 | FL | |
| Marriage & Family Therapist | 106H00000X | MT3478 | FL | Yes |
Addresses
Primary practice location
27 Golf Terrace Dr Apt 211
Winter Springs, FL 32708-5725
Mailing address
27 Golf Terrace Dr Apt 211
Winter Springs, FL 32708-5725
Phone (904) 314-9740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982188140 | Medicaid | FL |
Other providers in Winter Springs, FL
- Devin Holly Becker
- Bella Dental, P.a.
- Leni Benitez
- Jordan Bennett
- Cynthia P Bernal
- Bio Health Group LLC
- Blue Jay Behavioral Services
- David Antony Bolanos
- Ivan A Bolivar
- John Jeffrey Bos
All providers in Winter Springs, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.