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General NPI Number Information
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NPI Number | 1164003489
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Entity Type | Organization
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Legal Business Name | TRUESELF THERAPY LLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 4-1629 SUITE C1 KUHIO HWY
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City | KAPAA
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State | HI
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Zip | 96746-9674
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Country | US
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Telephone | 808-400-0047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | ANAHOLA
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State | HI
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Zip | 96703-0131
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Country | US
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Telephone | 508-314-0421
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MEGAN SMITH
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Credential |
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Telephone | 808-400-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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