Provider Demographics
NPI:1881220937
Name:JUSTIN HUI INDIVIDUAL AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:JUSTIN HUI INDIVIDUAL AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-295-8707
Mailing Address - Street 1:PO BOX 3615
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-3615
Mailing Address - Country:US
Mailing Address - Phone:949-295-8707
Mailing Address - Fax:
Practice Address - Street 1:101 S KRAEMER BLVD STE 230
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-6110
Practice Address - Country:US
Practice Address - Phone:949-295-8707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty