Provider Demographics
NPI:1639777022
Name:THERAPY WITH LORI, LLC
Entity Type:Organization
Organization Name:THERAPY WITH LORI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:808-631-7097
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-0626
Mailing Address - Country:US
Mailing Address - Phone:808-631-7097
Mailing Address - Fax:
Practice Address - Street 1:4-885 KUHIO HWY # A-1
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-2702
Practice Address - Country:US
Practice Address - Phone:808-631-7097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health