Provider Demographics
NPI:1609562321
Name:SAKU HEALING LLC
Entity Type:Organization
Organization Name:SAKU HEALING LLC
Other - Org Name:KAI THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TATEYAMA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-223-5648
Mailing Address - Street 1:PO BOX 971334
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-8203
Mailing Address - Country:US
Mailing Address - Phone:808-304-5509
Mailing Address - Fax:
Practice Address - Street 1:98-1238 KAAHUMANU ST STE 202
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3250
Practice Address - Country:US
Practice Address - Phone:808-304-5509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty