Healthcare Provider Details

I. General information

NPI: 1285038364
Provider Name (Legal Business Name): HAPPY HAPPY HAPPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 UNIVERSITY AVE STE 302
HONOLULU HI
96826-1544
US

IV. Provider business mailing address

1110 UNIVERSITY AVE STE 302
HONOLULU HI
96826-1544
US

V. Phone/Fax

Practice location:
  • Phone: 808-457-1082
  • Fax: 808-356-1649
Mailing address:
  • Phone: 808-457-1082
  • Fax: 808-356-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number16978
License Number StateHI

VIII. Authorized Official

Name: DR. THOMAS LANNO COOK IV
Title or Position: GENERAL PSYCHIATRIST
Credential: M.D.
Phone: 239-595-5441