MEDICARE: GRACE AND JOY THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528923208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE AND JOY THERAPY, LLC

Provider Business Mailing Address
First Line	:	5362 KUMOLE ST APT A
Second Line	:
City	:	KAPAA
State	:	HI
Zip	:	96746-2256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4371 PUAOLE ST STE C
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1275
Country	:	US
Telephone Number	:	808-282-6050
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	GRACIA ALVES
Credential	:
Telephone Number	:	808-282-6050

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “GRACE AND JOY THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

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