Provider Demographics
NPI:1194317461
Name:SABRA DELLA LUCIA LLC
Entity type:Organization
Organization Name:SABRA DELLA LUCIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLA LUCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-772-5245
Mailing Address - Street 1:2915 ROBERT PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1719
Mailing Address - Country:US
Mailing Address - Phone:808-722-5245
Mailing Address - Fax:
Practice Address - Street 1:1130 KOKO HEAD AVE STE 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3771
Practice Address - Country:US
Practice Address - Phone:808-722-5245
Practice Address - Fax:949-655-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty