Provider Demographics
NPI:1891491122
Name:TRUEYOU THERAPY
Entity Type:Organization
Organization Name:TRUEYOU THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:LOFTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-854-6138
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:KURTISTOWN
Mailing Address - State:HI
Mailing Address - Zip Code:96760-0014
Mailing Address - Country:US
Mailing Address - Phone:808-854-6138
Mailing Address - Fax:
Practice Address - Street 1:16-1689 UAU STREET (5 ROAD)
Practice Address - Street 2:HAWAIIAN ACRES SUBDIVISION
Practice Address - City:KURTISTOWN
Practice Address - State:HI
Practice Address - Zip Code:96760-9676
Practice Address - Country:US
Practice Address - Phone:808-854-6138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health