Provider Demographics
NPI:1710273545
Name:TARIK, ISAAC A (LMFT)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:A
Last Name:TARIK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4570 NOI ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1046
Mailing Address - Country:US
Mailing Address - Phone:808-688-7064
Mailing Address - Fax:
Practice Address - Street 1:3094 ELUA ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1209
Practice Address - Country:US
Practice Address - Phone:808-688-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health