Healthcare Provider Details

I. General information

NPI: 1447947486
Provider Name (Legal Business Name): BUSY BEE PSYCHOLOGICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 05/28/2023
Certification Date: 05/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 COLORADO AVE APT D
LAS CRUCES NM
88001-3386
US

IV. Provider business mailing address

204 GIBSON ST UNIT B
TALENT OR
97540-6676
US

V. Phone/Fax

Practice location:
  • Phone: 575-497-0097
  • Fax:
Mailing address:
  • Phone: 575-993-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. MARILYSSA NICOLE TRUJILLO
Title or Position: COO/PARAMEDIC
Credential: NRP
Phone: 575-993-8767