Provider Demographics
NPI:1366052904
Name:KRZYS CHIN LMFT L.L.C.
Entity type:Organization
Organization Name:KRZYS CHIN LMFT L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARITAL & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRZYSTOF
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, MAMFT
Authorized Official - Phone:929-841-4487
Mailing Address - Street 1:6710B 107TH ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-3317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1221 KAPIOLANI BLVD PH 50
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3518
Practice Address - Country:US
Practice Address - Phone:808-260-9893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty