Provider Demographics
NPI:1417718594
Name:KAHULI THERAPY LLC
Entity Type:Organization
Organization Name:KAHULI THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:HK
Authorized Official - Last Name:HOE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-556-8261
Mailing Address - Street 1:45-955 KAMEHAMEHA HWY STE 207
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3293
Mailing Address - Country:US
Mailing Address - Phone:808-556-8261
Mailing Address - Fax:808-481-5476
Practice Address - Street 1:45-955 KAMEHAMEHA HWY STE 207
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3293
Practice Address - Country:US
Practice Address - Phone:808-556-8261
Practice Address - Fax:808-481-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health