Provider Demographics
NPI:1629216155
Name:TAPIA MARIN, ANABEL (LIMHP, LMHP, LMFT)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:TAPIA MARIN
Suffix:
Gender:F
Credentials:LIMHP, LMHP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 SKYHAWK AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68133-2305
Mailing Address - Country:US
Mailing Address - Phone:402-417-6089
Mailing Address - Fax:
Practice Address - Street 1:207 GALVIN RD N
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-4898
Practice Address - Country:US
Practice Address - Phone:402-957-2630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE979101YM0800X
NE4050101YP2500X
NE144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional