Provider Demographics
NPI:1982865697
Name:KOKUA PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:KOKUA PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE FAMILY THERAPIST/ORGANIZER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAKAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:808-754-8707
Mailing Address - Street 1:1660 KALAKAUA AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2431
Mailing Address - Country:US
Mailing Address - Phone:808-754-8707
Mailing Address - Fax:
Practice Address - Street 1:1660 KALAKAUA AVE APT 104
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2431
Practice Address - Country:US
Practice Address - Phone:808-754-8707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services