Provider Demographics
NPI:1154056281
Name:HAWAII THERAPEUTIC PARTNERS, LLC
Entity Type:Organization
Organization Name:HAWAII THERAPEUTIC PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:PORTER
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT-I
Authorized Official - Phone:808-460-3700
Mailing Address - Street 1:2875 S KING ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-3508
Mailing Address - Country:US
Mailing Address - Phone:808-460-3700
Mailing Address - Fax:
Practice Address - Street 1:2875 S KING ST STE 201A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3508
Practice Address - Country:US
Practice Address - Phone:808-460-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-21
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty