| Lfr Kauai Llc | |
|
2843 Kanani St Lihue HI 96766-1626 | |
| (808) 431-1101 | |
| Not Available |
| Full Name | Lfr Kauai Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2843 Kanani St, Lihue, Hawaii |
| Authorized Official Name and Position | Lindsay Fernandez Richardson (LMHC) |
| Authorized Official Contact | 8084311101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lfr Kauai Llc Po Box 303 Lihue HI 96766-0303 Ph: (808) 431-1101 | Lfr Kauai Llc 2843 Kanani St Lihue HI 96766-1626 Ph: (808) 431-1101 |
| NPI Number | 1437811288 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437811288 | NPI | - | NPPES |
| 810152 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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