MARA TIBBALS
NPI 1104600774
Counselor - Professional in West Allis, WI
- Individual
- Female
- Counselor
- Professional
About MARA TIBBALS
This page provides the complete NPI Profile along with additional information for Mara Tibbals, a provider established in West Allis, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104600774 assigned on August 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 7480-226 (WI). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1104600774 Verify this NPI
- Provider Name
- MARA TIBBALS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10150 W NATIONAL AVE STE 390 WEST ALLIS, WI 53227
- Location Phone
- (414) 545-4430
- Mailing Address
- W142N8220 MERRIMAC DR MENOMONEE FALLS, WI 53051
- Mailing Phone
- (262) 853-4488
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-23-2023
- Last Update Date
- 08-23-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 7480-226
- License State
- WI
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Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
WEST ALLIS, WI 53227
WEST ALLIS, WI 53227
WEST ALLIS, WI 53227
MILWAUKEE, WI 53227
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104600774, enumerated as an "individual" on August 23, 2023.
The provider is located at 10150 W NATIONAL AVE STE 390 WEST ALLIS, WI 53227 and the phone number is (414) 545-4430.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
