| Kilolani Counseling And Mindfulness Services, Llc | |
|
321 N Kuakini St Ste 807 Honolulu HI 96817-2395 | |
| (808) 282-2564 | |
| Not Available |
| Full Name | Kilolani Counseling And Mindfulness Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 N Kuakini St Ste 807, Honolulu, Hawaii |
| Authorized Official Name and Position | Lucas Morgan (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8082822564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilolani Counseling And Mindfulness Services, Llc 609 Kumukahi Pl Honolulu HI 96825-1116 Ph: (808) 282-2564 | Kilolani Counseling And Mindfulness Services, Llc 321 N Kuakini St Ste 807 Honolulu HI 96817-2395 Ph: (808) 282-2564 |
| NPI Number | 1790288967 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 03/14/2018 |
| Medicare PECOS PAC ID | 2062776891 |
|---|---|
| Medicare Enrollment ID | O20180503000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790288967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY1630 (Hawaii) | Primary |
| Provider Name | Lucas Paul Kawika Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164965505 PECOS PAC ID: 7416237052 Enrollment ID: I20161216001801 |
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