Play Therapy Maui Llc | |
2200 Main St Ste 518 Wailuku HI 96793-1624 | |
(808) 359-8290 | |
Not Available |
Full Name | Play Therapy Maui Llc |
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Speciality | Marriage & Family Therapist |
Location | 2200 Main St Ste 518, Wailuku, Hawaii |
Authorized Official Name and Position | Shayna S Horie (OWNER) |
Authorized Official Contact | 8082226263 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Play Therapy Maui Llc Po Box 427 Wailuku HI 96793-0427 Ph: () - | Play Therapy Maui Llc 2200 Main St Ste 518 Wailuku HI 96793-1624 Ph: (808) 359-8290 |
NPI Number | 1558936781 |
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Provider Enumeration Date | 05/20/2021 |
Last Update Date | 02/09/2023 |
Certification Date | 02/09/2023 |
Medicare PECOS PAC ID | 8820437122 |
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Medicare Enrollment ID | O20240419000892 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558936781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Shayna Skye Horie |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1215522446 PECOS PAC ID: 9739528035 Enrollment ID: I20240419000959 |
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