Provider Demographics
NPI:1235957325
Name:HAWAII MARRIAGE AND FAMILY THERAPY LLC
Entity type:Organization
Organization Name:HAWAII MARRIAGE AND FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY THERAP
Authorized Official - Prefix:
Authorized Official - First Name:PALOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-462-2557
Mailing Address - Street 1:93 MALUHIA DR APT B
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-3705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:93 MALUHIA DR APT B
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-3705
Practice Address - Country:US
Practice Address - Phone:808-462-2557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-28
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty