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Organization
BEACH THERAPY LLC
Active
Organization
BEACH THERAPY LLC
Active
Other names
CBT Gym
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN MILLER LMHC (OWNER)
(808) 638-3870
Entity
Organization
Contact information
Practice address
1164 BISHOP ST STE 930, HONOLULU, HI 96813-6705
(808) 638-3870
(808) 829-3070
Mailing address
1164 BISHOP ST STE 930, HONOLULU, HI 96813-6705
(808) 638-3870
(808) 829-3070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
12/12/2021
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