Provider Demographics
NPI:1689327660
Name:HONOLULU THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:HONOLULU THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-256-5222
Mailing Address - Street 1:PO BOX 26372
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-6372
Mailing Address - Country:US
Mailing Address - Phone:808-256-5222
Mailing Address - Fax:
Practice Address - Street 1:2228 LILIHA ST STE 404
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1654
Practice Address - Country:US
Practice Address - Phone:808-256-5222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty