Provider Demographics
NPI:1215745088
Name:BRAIN FITNESS HAWAII LLC
Entity type:Organization
Organization Name:BRAIN FITNESS HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:YIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-673-5888
Mailing Address - Street 1:45-019 KA HANAHOU PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3014
Mailing Address - Country:US
Mailing Address - Phone:808-673-5888
Mailing Address - Fax:
Practice Address - Street 1:45-019 KA HANAHOU PL
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3014
Practice Address - Country:US
Practice Address - Phone:808-673-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty