| Creative Therapy, Inc. | |
|
3483 Weliweli Rd Suite #1 Koloa HI 96756-8546 | |
| (808) 652-2862 | |
| (808) 320-3933 |
| Full Name | Creative Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3483 Weliweli Rd, Koloa, Hawaii |
| Authorized Official Name and Position | Mary Frances Tyson Marchino (OWNER) |
| Authorized Official Contact | 8086522862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Therapy, Inc. Po Box 339 Kalaheo HI 96741-0339 Ph: (808) 652-2862 | Creative Therapy, Inc. 3483 Weliweli Rd Suite #1 Koloa HI 96756-8546 Ph: (808) 652-2862 |
| NPI Number | 1184016446 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184016446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT350 (Hawaii) | Primary |
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