Kualoli Counseling & Psychotherapy, Llc | |
5476 Koloa Road, 2f Koloa HI 96756-9675 | |
(808) 639-7255 | |
Not Available |
Full Name | Kualoli Counseling & Psychotherapy, Llc |
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Speciality | Counselor - Mental Health |
Location | 5476 Koloa Road, 2f, Koloa, Hawaii |
Authorized Official Name and Position | Shanti Kay Manzano (OWNER/PROVIDER) |
Authorized Official Contact | 8086397255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kualoli Counseling & Psychotherapy, Llc Po Box 1075 Koloa HI 96756-1075 Ph: (808) 639-7255 | Kualoli Counseling & Psychotherapy, Llc 5476 Koloa Road, 2f Koloa HI 96756-9675 Ph: (808) 639-7255 |
NPI Number | 1376202218 |
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Provider Enumeration Date | 12/08/2021 |
Last Update Date | 12/08/2021 |
Certification Date | 11/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376202218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Creative Therapy, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3483 Weliweli Rd, Suite #1, Koloa, HI 96756 Phone: 808-652-2862 Fax: 808-320-3933 | |
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