Provider Demographics
NPI:1093226821
Name:JULIA SANDERSON LLC
Entity Type:Organization
Organization Name:JULIA SANDERSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-729-8869
Mailing Address - Street 1:1065 KAWAIAHAO ST APT 2508
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4128
Mailing Address - Country:US
Mailing Address - Phone:808-729-8869
Mailing Address - Fax:
Practice Address - Street 1:815 ALAKEA STREET
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-9681
Practice Address - Country:US
Practice Address - Phone:808-255-8836
Practice Address - Fax:808-255-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty