Provider Demographics
NPI:1447947486
Name:BUSY BEE PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:BUSY BEE PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PARAMEDIC
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYSSA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:575-993-8767
Mailing Address - Street 1:204 GIBSON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-6676
Mailing Address - Country:US
Mailing Address - Phone:575-993-2075
Mailing Address - Fax:
Practice Address - Street 1:705 COLORADO AVE APT D
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3386
Practice Address - Country:US
Practice Address - Phone:575-497-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty