| Orchid Isle Psychotherapy | |
|
75-5995 Kuakini Hwy. Ste 900 Kailua-kona HI 96740 | |
| (808) 333-8988 | |
| (808) 464-4257 |
| Full Name | Orchid Isle Psychotherapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 75-5995 Kuakini Hwy., Kailua-kona, Hawaii |
| Authorized Official Name and Position | Nancy M Sallee (OWNER) |
| Authorized Official Contact | 8083338988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchid Isle Psychotherapy 77-401 Pu'uwai Ali'i Place Kailua-kona HI 96740 Ph: (808) 333-8988 | Orchid Isle Psychotherapy 75-5995 Kuakini Hwy. Ste 900 Kailua-kona HI 96740 Ph: (808) 333-8988 |
| NPI Number | 1376055046 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376055046 | NPI | - | NPPES |
| 612524-01 | Medicaid | HI | |
| 612524-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT154 (Hawaii) | Primary |
| 106H00000X | Marriage & Family Therapist | MFCC38611 (California) | Secondary |
The Green Room Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 78-6831 Alii Drive, Space E234, Unit # 211, Kailua-kona, HI 96740 Phone: 808-234-4435 | |
Whalesong Wellness Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73-1103 Ahikawa St, Kailua-kona, HI 96740 Phone: 808-895-0090 |