Healthcare Provider Details

I. General information

NPI: 1528923208
Provider Name (Legal Business Name): GRACE AND JOY THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4371 PUAOLE ST STE C
LIHUE HI
96766-1275
US

IV. Provider business mailing address

5362 KUMOLE ST APT A
KAPAA HI
96746-2256
US

V. Phone/Fax

Practice location:
  • Phone: 808-282-6050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GRACIA ALVES
Title or Position: THERAPIST
Credential:
Phone: 808-282-6050