Provider Demographics
NPI:1184415838
Name:MOMI DAMATE, LLC
Entity type:Organization
Organization Name:MOMI DAMATE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMATE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-931-0125
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:KAHUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96731-0312
Mailing Address - Country:US
Mailing Address - Phone:808-931-0125
Mailing Address - Fax:808-638-7393
Practice Address - Street 1:2176 LAUWILIWILI ST # 28
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1881
Practice Address - Country:US
Practice Address - Phone:808-931-0125
Practice Address - Fax:808-638-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty