Provider Demographics
NPI:1013343383
Name:ALOHA PEACE THERAPY
Entity Type:Organization
Organization Name:ALOHA PEACE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:DJAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-276-6272
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-6824
Mailing Address - Country:US
Mailing Address - Phone:808-276-6272
Mailing Address - Fax:
Practice Address - Street 1:241 PILIWALE RD
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-8877
Practice Address - Country:US
Practice Address - Phone:808-276-6272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT 321251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health