Provider Demographics
NPI:1801630710
Name:OAHU HOLISTIC THERAPY LLC
Entity type:Organization
Organization Name:OAHU HOLISTIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:CHANTEL
Authorized Official - Last Name:ALETHEA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-206-4649
Mailing Address - Street 1:41-875 KAKAINA ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-2206
Mailing Address - Country:US
Mailing Address - Phone:808-206-4649
Mailing Address - Fax:
Practice Address - Street 1:41-875 KAKAINA ST UNIT A
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-2206
Practice Address - Country:US
Practice Address - Phone:808-206-4649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health