Provider Demographics
NPI:1851066468
Name:ALMESTICA, TAINA LEE (DOCTOR)
Entity Type:Individual
Prefix:
First Name:TAINA
Middle Name:LEE
Last Name:ALMESTICA
Suffix:
Gender:F
Credentials:DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HARVEY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3321
Mailing Address - Country:US
Mailing Address - Phone:603-782-7113
Mailing Address - Fax:603-782-7113
Practice Address - Street 1:500 HARVEY RD STE 202500
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3336
Practice Address - Country:US
Practice Address - Phone:603-782-7113
Practice Address - Fax:603-782-7113
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NH11-198401101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor