| Ike Loa Therapeutic Services, Inc | |
|
1520 Liliha St Ste 406 Honolulu HI 96817-3564 | |
| (714) 584-9889 | |
| (808) 600-3754 |
| Full Name | Ike Loa Therapeutic Services, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1520 Liliha St Ste 406, Honolulu, Hawaii |
| Authorized Official Name and Position | Maila Kaneaiakala (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8082203665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ike Loa Therapeutic Services, Inc 1520 Liliha St Ste 406 Honolulu HI 96817-3564 Ph: (714) 584-9889 | Ike Loa Therapeutic Services, Inc 1520 Liliha St Ste 406 Honolulu HI 96817-3564 Ph: (714) 584-9889 |
| NPI Number | 1538794201 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 09/03/2021 |
| Certification Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538794201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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