Provider Demographics
NPI:1902529878
Name:RAUL T SABAT, MA, MFT, LLC
Entity Type:Organization
Organization Name:RAUL T SABAT, MA, MFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:SABAT
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:808-218-2707
Mailing Address - Street 1:3095 ALA ILIMA ST APT 105
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2772
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 BISHOP ST STE 511
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2811
Practice Address - Country:US
Practice Address - Phone:808-218-2707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI340075Medicaid