Maui Recovery LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 239 Issued in HI

Legal business name

MAUI RECOVERY LLC

Practice address

1819 S Kihei Rd
Ste D110
Kihei, HI 96753-7941

Phone

(800) 919-2066

NPI assigned

Dec 1, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay L Serle, PH.D.

Title

Executive Director

Phone

(808) 385-1574

Specialties & licenses 1

Addresses

Other names 1

• Maui Recovery Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1548635634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11063",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611063",
            "telephone_number": "808-385-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S KIHEI RD",
            "address_2": "STE D110",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537941",
            "telephone_number": "800-919-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-385-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT 239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Kihei, HI
• Providers in Kihei, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.