Organization
MAUI INTEGRATED THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA RAE HARRIS LMHC, LBA (OWNER)
(808) 868-9536
Entity
Organization
Contact information
Practice address
1102 MOLE PL, MAKAWAO, HI 96768-9349
(808) 868-9536
Mailing address
1102 MOLE PL, MAKAWAO, HI 96768-9349
(808) 868-9536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215434659
—
HI
Enumeration date
10/27/2023
Last updated
10/27/2023
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