Provider Demographics
NPI:1265709356
Name:THERAPY4POSITIVECHANGES LLC
Entity type:Organization
Organization Name:THERAPY4POSITIVECHANGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS WELTER
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:WELTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-728-8533
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:SUITE 511
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-278-4533
Mailing Address - Fax:855-343-8826
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:SUITE 511
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-728-8533
Practice Address - Fax:855-343-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-17
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1217103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty