Taryn J Ivers

NPI #1275289407 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1275289407
Entity Type: Organization
Organization Name: Taryn J Ivers
Primary Specialty: Community/Behavioral Health
Enumeration Date: Feb 25, 2022
Last Updated: Jan 19, 2023

Practice Location

Address: 91-1170 MIKOHU ST APT 40C
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-4317
Phone: (505) 429-5731

Authorized Official

Name: TARYN JOY MAI VALDEZ IVERS
Title: OWNER
Phone: (505) 429-5731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Community/Behavioral Health	251S00000X	Primary

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