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73-1204 Mahilani Dr Kailua Kona HI 96740-9453 | |
| (808) 895-8451 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 73-1204 Mahilani Dr, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Genell Howell (OWNER) |
| Authorized Official Contact | 8088958451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2288 Taos NM 87571-2288 Ph: (808) 895-8451 | 73-1204 Mahilani Dr Kailua Kona HI 96740-9453 Ph: (808) 895-8451 |
| NPI Number | 1265969208 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Medicare PECOS PAC ID | 3870032329 |
|---|---|
| Medicare Enrollment ID | O20240828001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265969208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 437 (Hawaii) | Primary |
| Provider Name | Genell Brenna Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871020800 PECOS PAC ID: 2769921212 Enrollment ID: I20240828001494 |
Wallace R. Shrinski, Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-127 Lunapule Rd, 15b, Kailua Kona, HI 96740 Phone: 808-987-7306 | |
Catherine Smith Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-159 Lunapule Rd Ste 8, Kailua Kona, HI 96740 Phone: 808-896-4002 Fax: 888-883-7420 | |
Roger A Weiss, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 75-5744 Alii Dr, Kailua Kona, HI 96740 Phone: 808-329-7999 | |
Akamia Wellness Servies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73-4322 Keokeo St, Kailua Kona, HI 96740 Phone: 808-938-4162 | |
Dana Moody Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-127 Lunapule Rd, Suite 1a, Kailua Kona, HI 96740 Phone: 808-430-6159 | |
Diane Logan Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 75-127 Lunapule Rd Ste 15b, Kailua Kona, HI 96740 Phone: 808-437-7447 Fax: 808-374-9046 |