| NPI | 1235928763 |
|---|---|
| Doing Business As | PACIFIC THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNA F DEVORE Owner/Clinician 808-850-0407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 101YM0800X Counselor, Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |