Organization
PACIFIC THERAPY, LLC
Active
Other names
Pacific Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA F DEVORE LCSW (OWNER/CLINICIAN)
(808) 850-0407
Entity
Organization
Contact information
Practice address
87-153 KIMO ST, WAIANAE, HI 96792-3141
(808) 850-0407
Mailing address
87-153 KIMO ST, WAIANAE, HI 96792-3141
(808) 850-0407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/01/2025
Last updated
05/15/2026
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