| Pacific Counseling Center, Llc | |
|
780 Kaipii St Kailua HI 96734-2034 | |
| (808) 291-8582 | |
| Not Available |
| Full Name | Pacific Counseling Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 780 Kaipii St, Kailua, Hawaii |
| Authorized Official Name and Position | Amanda Lewis (OWNER) |
| Authorized Official Contact | 8082918582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Counseling Center, Llc Po Box 1718 Kailua HI 96734-8718 Ph: (808) 291-8582 | Pacific Counseling Center, Llc 780 Kaipii St Kailua HI 96734-2034 Ph: (808) 291-8582 |
| NPI Number | 1083016224 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083016224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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