| Empowered Pathways Maui, Llc | |
|
95 E Lipoa St Ste A210 Kihei HI 96753-8193 | |
| (808) 419-8105 | |
| Not Available |
| Full Name | Empowered Pathways Maui, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 95 E Lipoa St Ste A210, Kihei, Hawaii |
| Authorized Official Name and Position | Lisa Fanning (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8084198105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowered Pathways Maui, Llc Po Box 646 Wailuku HI 96793-0646 Ph: (808) 419-8105 | Empowered Pathways Maui, Llc 95 E Lipoa St Ste A210 Kihei HI 96753-8193 Ph: (808) 419-8105 |
| NPI Number | 1952166225 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952166225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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