Organization
LEEWARD THERAPY AND COMMUNITY SUPPORTS
Active
Other names
Leeward Community & Therapy Supports
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN JOY MAI VALDEZ IVERS (OWNER)
(808) 466-9111
Entity
Organization
Contact information
Practice address
91-1170 MIKOHU ST APT 40C, EWA BEACH, HI 96706-4317
(505) 429-5731
Mailing address
91-1170 MIKOHU ST APT 40C, EWA BEACH, HI 96706-4317
(808) 466-9111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001525
—
HI
05
—
003149
—
HI
Enumeration date
02/25/2022
Last updated
05/05/2026
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