Provider Demographics
NPI:1528155306
Name:HOFFMAN, TABITHA MARIE (MSE PCMNP PLADC)
Entity type:Individual
Prefix:MRS
First Name:TABITHA
Middle Name:MARIE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MSE PCMNP PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N NEBRASKA ST
Mailing Address - Street 2:BOX 302
Mailing Address - City:MADISON
Mailing Address - State:NE
Mailing Address - Zip Code:68748
Mailing Address - Country:US
Mailing Address - Phone:402-649-1827
Mailing Address - Fax:
Practice Address - Street 1:44432 SUNRISE PLACE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601
Practice Address - Country:US
Practice Address - Phone:402-564-9994
Practice Address - Fax:402-562-6458
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP411101YA0400X
NE8025101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health