| Proactive Solutions Llc | |
|
1050 Queen St Ste 100 Honolulu HI 96814-4130 | |
| (415) 207-5887 | |
| (808) 240-2306 |
| Full Name | Proactive Solutions Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1050 Queen St Ste 100, Honolulu, Hawaii |
| Authorized Official Name and Position | Stephen Anthony Reynolds (FOUNDER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4152075887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Solutions Llc 1050 Queen St Ste 100 Honolulu HI 96814-4130 Ph: (415) 207-5887 | Proactive Solutions Llc 1050 Queen St Ste 100 Honolulu HI 96814-4130 Ph: (415) 207-5887 |
| NPI Number | 1336873876 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 2668856865 |
|---|---|
| Medicare Enrollment ID | O20220907004008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336873876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Stephen A Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679906614 PECOS PAC ID: 6901297092 Enrollment ID: I20211228001375 |
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