Individual provider · Type 1 NPI
Misty Tabisula
Professional Counselor · Hahira, GA
NPI number
1255812624
Active
Practice location
7370 Ivey Hill Cir
Hahira, GA 31632-2275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | CCMH0201901 (NM) |
| Marriage & Family Therapist | 106H00000X | CMF0197861 (NM) |
| Marriage & Family Therapist | 106H00000X | MFT001348 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC008435 (GA) |
Professional Counselor: Definition to come...
About NPI 1255812624
Misty Tabisula's National Provider Identifier is 1255812624, issued on Aug 23, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hahira, GA. The record was last updated on Jun 29, 2026.