| Lokahi Treatment Centers | |
|
68-1845 Waikoloa Road Waikoloa Highlands Shopping Center Suite 224b Waikoloa HI 96738 | |
| (808) 883-0922 | |
| (808) 883-1022 |
| Full Name | Lokahi Treatment Centers |
|---|---|
| Speciality | Counselor |
| Location | 68-1845 Waikoloa Road, Waikoloa, Hawaii |
| Authorized Official Name and Position | Jamal F. Wasan (CEO) |
| Authorized Official Contact | 8088830922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lokahi Treatment Centers Po Box 383401 Waikoloa HI 96738-3401 Ph: (808) 883-0922 | Lokahi Treatment Centers 68-1845 Waikoloa Road Waikoloa Highlands Shopping Center Suite 224b Waikoloa HI 96738 Ph: (808) 883-0922 |
| NPI Number | 1073674602 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7416936752 |
|---|---|
| Medicare Enrollment ID | O20040719001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073674602 | NPI | - | NPPES |
| 1548210347 | Other | HI | BISSET NPI |
| 55787901 | Medicaid | HI | |
| 56024401 | Medicaid | HI | |
| 1427129196 | Other | HI | WASAN NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Hawaii) | Primary |
| Provider Name | Andrew D Bisset |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548210347 PECOS PAC ID: 2769461938 Enrollment ID: I20040720000646 |
| Provider Name | Jamal F Wasan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427129196 PECOS PAC ID: 9830178193 Enrollment ID: I20150227000790 |
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