| Group Therapy Maui | |
|
209 Lau Oliwa Loop Wailuku HI 96793-2188 | |
| (808) 269-3948 | |
| (808) 489-9580 |
| Full Name | Group Therapy Maui |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 209 Lau Oliwa Loop, Wailuku, Hawaii |
| Authorized Official Name and Position | Linda Tesar Amimoto (OWNER) |
| Authorized Official Contact | 8082693948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Group Therapy Maui 209 Lau Oliwa Loop Wailuku HI 96793-2188 Ph: (808) 269-3948 | Group Therapy Maui 209 Lau Oliwa Loop Wailuku HI 96793-2188 Ph: (808) 269-3948 |
| NPI Number | 1932850815 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932850815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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