# CREATIVE THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184016446
- **Authorized official:** MRS. MARY FRANCES TYSON MARCHINO MFT (OWNER)
- **Authorized official phone:** (808) 652-2862

## Contact information

- **Practice address:** 3483 WELIWELI RD, SUITE \#1, KOLOA, HI 96756-8546
- **Practice address phone:** (808) 652-2862
- **Practice address fax:** (808) 320-3933
- **Mailing address:** PO BOX 339, KALAHEO, HI 96741-0339
- **Mailing address phone:** (808) 652-2862
- **Mailing address fax:** (808) 320-3933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT350 | HI | Yes |

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 02/24/2015
