Organization
LEEWARD THERAPY AND COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN IVERS LCSW (OWNER)
(808) 466-9111
Entity
Organization
Contact information
Practice address
91-1170 MIKOHU ST APT 40C, EWA BEACH, HI 96706-4317
(808) 466-9111
Mailing address
PO BOX 970334, WAIPAHU, HI 96797-0334
(808) 466-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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