Provider Demographics
NPI:1376788760
Name:TRENDA LEE BERKEY, LCSW
Entity Type:Organization
Organization Name:TRENDA LEE BERKEY, LCSW
Other - Org Name:PSYCHOTHERAPY WORKS INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRENDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BERKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-623-0097
Mailing Address - Street 1:98-211 PALI MOMI ST STE 707
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4339
Mailing Address - Country:US
Mailing Address - Phone:808-623-0097
Mailing Address - Fax:808-623-0097
Practice Address - Street 1:98-211 PALI MOMI ST STE 707
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4339
Practice Address - Country:US
Practice Address - Phone:808-623-0097
Practice Address - Fax:808-623-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-13
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health