Organization · Type 2 NPI

Therapy Space LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Pahoa, HI

NPI number 1679329486 Active

Practice location

RR 3 81766
Pahoa, HI 96778

Call (808) 481-7283 Map

Mailing address

RR 3 Box 81766
Pahoa, HI 96778

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

NPI record

NPI: 1679329486
Entity type: Organization (Type 2)
Issued: Apr 24, 2024
Last updated: May 22, 2024
Status: Active

Other names

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The Therapy Space, LLC · doing business as
The Therapy Space, LLC · doing business as

Authorized official

Taliesin Sumner-Longboy, MSW
Owner
(808) 481-7283

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About NPI 1679329486

Therapy Space LLC's National Provider Identifier is 1679329486, issued on Apr 24, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Pahoa, HI. The record was last updated on May 22, 2024.