| Ruth Davis Mft Llc | |
|
2228 Liliha St Ste 404 Honolulu HI 96817-1654 | |
| (808) 258-0462 | |
| Not Available |
| Full Name | Ruth Davis Mft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2228 Liliha St Ste 404, Honolulu, Hawaii |
| Authorized Official Name and Position | Ruth Davis (OWNER) |
| Authorized Official Contact | 8082580462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth Davis Mft Llc 3003 Hoaloha Pl Honolulu HI 96817-1019 Ph: (808) 258-0462 | Ruth Davis Mft Llc 2228 Liliha St Ste 404 Honolulu HI 96817-1654 Ph: (808) 258-0462 |
| NPI Number | 1831821669 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Medicare PECOS PAC ID | 4284176512 |
|---|---|
| Medicare Enrollment ID | O20240603000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831821669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Ruth Manalastas Davis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588103410 PECOS PAC ID: 6002358330 Enrollment ID: I20240603000603 |
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