| Trauma Recovery Psychotherapy Services Hawaii | |
|
95-1507 Ainamakua Dr Apt 30 Mililani HI 96789-4406 | |
| (808) 829-1717 | |
| Not Available |
| Full Name | Trauma Recovery Psychotherapy Services Hawaii |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 95-1507 Ainamakua Dr Apt 30, Mililani, Hawaii |
| Authorized Official Name and Position | Lavon Petersen (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 8087985278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Recovery Psychotherapy Services Hawaii 95-1507 Ainamakua Dr Apt 30 Mililani HI 96789-4406 Ph: (808) 829-1717 | Trauma Recovery Psychotherapy Services Hawaii 95-1507 Ainamakua Dr Apt 30 Mililani HI 96789-4406 Ph: (808) 829-1717 |
| NPI Number | 1407680713 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407680713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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