Individual
TABETHA VICTORIA ELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2785 GULF FWY S STE 2.200, LEAGUE CITY, TX 77573-4979
(409) 772-3695
Mailing address
2785 GULF FWY S STE 2.200, LEAGUE CITY, TX 77573-4979
(409) 772-3695
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1169630
TX
Other
Enumeration date
08/19/2024
Last updated
12/19/2025
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