Provider Demographics
NPI:1083315964
Name:MARISA FIALHO, MARRIAGE & FAMILY THERAPIST, MS, LMFT, CSAC, LLC
Entity Type:Organization
Organization Name:MARISA FIALHO, MARRIAGE & FAMILY THERAPIST, MS, LMFT, CSAC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FIALHO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:808-483-0735
Mailing Address - Street 1:1017 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1114
Mailing Address - Country:US
Mailing Address - Phone:808-483-0735
Mailing Address - Fax:
Practice Address - Street 1:726 KAPAHULU AVE STE 205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-6040
Practice Address - Country:US
Practice Address - Phone:808-483-0735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty