Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISTY TABISULA
NPI 1255812624
Counselor - Professional in Hahira, GA

Active since August 23, 2018
7370 IVEY HILL CIR, HAHIRA, GA 31632(850) 973-0285 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2020, Aug 23, 2018 (2 updates tracked since 2018).

About Misty Tabisula NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTY TABISULA (NPI 1255812624) is an individual professional provider in Hahira, Georgia, licensed in Georgia (LPC008435) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1255812624
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISTY TABISULA
Location Address7370 IVEY HILL CIRHahira, GA 31632-2275
Mailing Address7370 Ivey Hill CirHahira, GA 31632-2275 · (850) 973-0285
Sole ProprietorYes
Enumeration DateAugust 23, 2018
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1255812624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC008435
Also ListedCounselorTaxonomy 101Y00000X · License CCMH0201901 (NM)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License CMF0197861 (NM), MFT001348 (GA)
7370 IVEY HILL CIR, Hahira, GA 31632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Tabisula's NPI number?

The NPI number for Misty Tabisula is 1255812624. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Misty Tabisula located?

Misty Tabisula practices at 7370 Ivey Hill Cir, Hahira, GA 31632. The listed phone number is (850) 973-0285.

What is Misty Tabisula's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Misty Tabisula was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.