Provider Demographics
NPI:1750868188
Name:PRESENT DAY FAMILY THERAPY LLC
Entity Type:Organization
Organization Name:PRESENT DAY FAMILY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARIAGA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-412-4264
Mailing Address - Street 1:92-1242 HOOKOMO ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1525
Mailing Address - Country:US
Mailing Address - Phone:562-412-4264
Mailing Address - Fax:
Practice Address - Street 1:92-1242 HOOKOMO ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1525
Practice Address - Country:US
Practice Address - Phone:562-412-4264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-28
Last Update Date:2018-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT541106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty