Provider Demographics
NPI:1063695401
Name:KAULIA, RHESA R (MFT)
Entity type:Individual
Prefix:MRS
First Name:RHESA
Middle Name:R
Last Name:KAULIA
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1221 KA UKA BLVD STE 108
Mailing Address - Street 2:UNIT #189
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6299
Mailing Address - Country:US
Mailing Address - Phone:808-389-9369
Mailing Address - Fax:808-627-9891
Practice Address - Street 1:94-1221 KA UKA BLVD STE B202A
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6202
Practice Address - Country:US
Practice Address - Phone:808-389-9369
Practice Address - Fax:808-627-9891
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist