| Big Island Teen Counseling Center Llc | |
|
224 Kamehameha Ave Suite 206 Hilo HI 96720-2860 | |
| (808) 494-5350 | |
| Not Available |
| Full Name | Big Island Teen Counseling Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 224 Kamehameha Ave, Hilo, Hawaii |
| Authorized Official Name and Position | Sarah Louise Warren (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8084945350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Island Teen Counseling Center Llc Po Box 10283 Hilo HI 96721-5283 Ph: (808) 494-5350 | Big Island Teen Counseling Center Llc 224 Kamehameha Ave Suite 206 Hilo HI 96720-2860 Ph: (808) 494-5350 |
| NPI Number | 1841650082 |
|---|---|
| Provider Enumeration Date | 03/01/2016 |
| Last Update Date | 03/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841650082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 4014 (Hawaii) | Primary |
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