MRS. TRYSHA LEINANI MISA BODDEN


Address: 1130 N Nimitz Hwy Rm A203, Honolulu, HI 96817-5785
Phone: 8082945810

MRS. TRYSHA LEINANI MISA BODDEN (NPI# 1497096044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497096044
Entity Type Individual
Full Name MRS. TRYSHA LEINANI MISA BODDEN
Credential M.A.
Practice Address 1130 N Nimitz Hwy Rm A203
Honolulu
HI 96817-5785
Mailing Address 91-2032 Kaioli St Apt 6001
Ewa Beach
HI 96706-6081
Practice Telephone 8082945810
Practice Fax Number 8084417744
Enumeration Date 2013-03-06
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
91-2032 Kaioli St Apt 6001, Ewa Beach, HI 967066081 8082945810

Office Location

Street Address 1130 N NIMITZ HWY RM A203
City HONOLULU
State HI
Zip Code 96817-5785

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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

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Competitor

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City HONOLULU
Zip Code 96817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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