| Holistic Psych Center Corp. | |
|
569 Hao St Honolulu HI 96821-1645 | |
| (808) 373-2667 | |
| (808) 373-2810 |
| Full Name | Holistic Psych Center Corp. |
|---|---|
| Speciality | Psychologist |
| Location | 569 Hao St, Honolulu, Hawaii |
| Authorized Official Name and Position | Evelyne Raposo (OWNER) |
| Authorized Official Contact | 8083732667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psych Center Corp. 569 Hao St Honolulu HI 96821-1645 Ph: (808) 373-2667 | Holistic Psych Center Corp. 569 Hao St Honolulu HI 96821-1645 Ph: (808) 373-2667 |
| NPI Number | 1659556074 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 09/20/2017 |
| Medicare PECOS PAC ID | 4880770734 |
|---|---|
| Medicare Enrollment ID | O20080318000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659556074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 612 (Hawaii) | Primary |
| Provider Name | Evelyne C Raposo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144320847 PECOS PAC ID: 5698858538 Enrollment ID: I20080219000759 |
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