Organization
SHAMISO WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH TISTSI MBIZA PHD (CLINICAL DIRECTOR)
(850) 294-6906
Entity
Organization
Contact information
Practice address
1607 VILLAGE SQUARE BLVD STE 5, TALLAHASSEE, FL 32309-2772
(850) 294-6906
(850) 807-5214
Mailing address
145 NORTHCUTT TER, TALLAHASSEE, FL 32317-7216
(850) 294-6906
(850) 807-5214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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