| Michelle Birdsall, Llc | |
|
91-110 Hanua St Ste 208a Kapolei HI 96707-1742 | |
| (808) 383-3764 | |
| (888) 610-7695 |
| Full Name | Michelle Birdsall, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 91-110 Hanua St Ste 208a, Kapolei, Hawaii |
| Authorized Official Name and Position | Michelle Birdsall (OWNER) |
| Authorized Official Contact | 8083833764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Birdsall, Llc 91-110 Hanua St Ste 208a Kapolei HI 96707-1742 Ph: (808) 383-3764 | Michelle Birdsall, Llc 91-110 Hanua St Ste 208a Kapolei HI 96707-1742 Ph: (808) 383-3764 |
| NPI Number | 1023884848 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/03/2023 |
| Certification Date | 12/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023884848 | NPI | - | NPPES |
| 632720 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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