Ms Lauren Mai Kelly, MA | |
715 S Kihei Rd, 237, Kihei, HI 96753-9070 | |
(401) 316-9666 | |
Not Available |
Full Name | Ms Lauren Mai Kelly |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 715 S Kihei Rd, Kihei, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225221369 | NPI | - | NPPES |
30343 | Other | RI | BLUE CROSS CRISIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Pacific Island Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881052298 PECOS PAC ID: 4183904188 Enrollment ID: O20161208002465 |
Mailing Address | Practice Location Address |
---|---|
Ms Lauren Mai Kelly, MA 715 S Kihei Rd, 237, Kihei, HI 96753-9070 Ph: () - | Ms Lauren Mai Kelly, MA 715 S Kihei Rd, 237, Kihei, HI 96753-9070 Ph: (401) 316-9666 |
Tamra Lynn Gossard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Uwapo Rd Apt 48-105, Kihei, HI 96753 Phone: 480-251-4042 | |
Ryan Price, Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Kenolio Rd Apt 7-104, Kihei, HI 96753 Phone: 617-775-1172 | |
Alicia Louise Stettler, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1300 N Holopono St Ste 108&213, Kihei, HI 96753 Phone: 808-206-9371 Fax: 855-270-7441 | |
Mrs. Jenny Grace Shaw, LMHC, CPT, CWS Counselor Medicare: Medicare Enrolled Practice Location: 1450 S Kihei Rd, B201, Kihei, HI 96753 Phone: 808-344-5404 | |
Stephen Noel Bennett, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1772 Hoonanea St, Kihei, HI 96753 Phone: 323-447-3375 | |
Dr. Chase Victor Conrad, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1300 N Holopono St Ste 108, Kihei, HI 96753 Phone: 808-206-9371 Fax: 855-270-7441 |