THE THERAPY SPACE, LLC – NPI #1679329486
Clinic/Center

THE THERAPY SPACE, LLC is an AHC clinic located in PAHOA, HI. NPPES has assigned the NPI number 1679329486 to THE THERAPY SPACE, LLC on April 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE THERAPY SPACE, LLC” is a dba name, the actual legal business name for this organization is THERAPY SPACE LLC. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 2 years ago on May 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE THERAPY SPACE, LLC below.

NPI Profile for
THERAPY SPACE LLC

NPI Number
1679329486
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THERAPY SPACE LLC
Doing Business As (dba): THE THERAPY SPACE, LLC
Primary location
RR 3 81766
PAHOA, HI 96778
Phone: (808) 481-7283 Fax:
Mailing address
RR 3 BOX 81766
PAHOA, HI 96778
Phone: Fax:
Organization Subpart
No
Authorized Official
TALIESIN SUMNER-LONGBOY
OWNER
Phone: (808) 481-7283
Updated
Certification Date
May 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.