| Illuminata Counseling | |
|
135 S Wakea Ave Ste 208 Kahului HI 96732-1385 | |
| (808) 871-2830 | |
| Not Available |
| Full Name | Illuminata Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 135 S Wakea Ave Ste 208, Kahului, Hawaii |
| Authorized Official Name and Position | Debbie Spates (LICENSED MARRIAGE & FAMILY THERAPIS) |
| Authorized Official Contact | 8088712830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminata Counseling 65 Halili Ln Apt 10 Kihei HI 96753-6079 Ph: (808) 280-4402 | Illuminata Counseling 135 S Wakea Ave Ste 208 Kahului HI 96732-1385 Ph: (808) 871-2830 |
| NPI Number | 1982258026 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 9931544459 |
|---|---|
| Medicare Enrollment ID | O20240223003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982258026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Debbie Spates |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578804126 PECOS PAC ID: 3274978705 Enrollment ID: I20240328003666 |
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