Provider Demographics
NPI:1558634733
Name:HABTE, NEBIAT (LMFT)
Entity Type:Individual
Prefix:
First Name:NEBIAT
Middle Name:
Last Name:HABTE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28081 MARGUERITE PKWY
Mailing Address - Street 2:PO BOX #2964
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-3600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34192 VIOLET LANTERN ST
Practice Address - Street 2:SUITE #4
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2846
Practice Address - Country:US
Practice Address - Phone:949-407-5701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49978106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist