Provider Demographics
NPI:1679320931
Name:APPLIED THERAPEUTIC STRATEGIES LLC
Entity type:Organization
Organization Name:APPLIED THERAPEUTIC STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CHELMINIAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-557-6717
Mailing Address - Street 1:PO BOX 2099
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-2099
Mailing Address - Country:US
Mailing Address - Phone:808-885-5050
Mailing Address - Fax:
Practice Address - Street 1:65-1279 KAWAIHAE RD STE 218
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8444
Practice Address - Country:US
Practice Address - Phone:808-557-6717
Practice Address - Fax:808-887-6717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI578784Medicaid