Provider Demographics
NPI:1861238362
Name:THERAPY PLUS
Entity type:Organization
Organization Name:THERAPY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:559-422-7637
Mailing Address - Street 1:1888 KALAKAUA AVE STE C312
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1550
Mailing Address - Country:US
Mailing Address - Phone:559-422-7637
Mailing Address - Fax:
Practice Address - Street 1:1888 KALAKAUA AVE STE C312
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1550
Practice Address - Country:US
Practice Address - Phone:559-422-7637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty