Healthcare Provider Details
I. General information
NPI: 1437733656
Provider Name (Legal Business Name): CAHPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2021
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 LUNALILO HOME RD 14J
HONOLULU HI
96825-9682
US
IV. Provider business mailing address
500 LUNALILO HOME RD APT 14J
HONOLULU HI
96825-1729
US
V. Phone/Fax
- Phone: 808-381-5184
- Fax:
- Phone: 808-381-5184
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JENNIFER
ANNETTE
LESLEIN-HOPLEY
Title or Position: OWNER
Credential: LMHC
Phone: 808-381-5184