| Shanelle Purdy Lmhc, Llc | |
|
87-1510 Kuaha St Waianae HI 96792-5414 | |
| (808) 429-9766 | |
| Not Available |
| Full Name | Shanelle Purdy Lmhc, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 87-1510 Kuaha St, Waianae, Hawaii |
| Authorized Official Name and Position | Shanelle Purdy (THERAPIST) |
| Authorized Official Contact | 8084299766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shanelle Purdy Lmhc, Llc 87-1510 Kuaha St Waianae HI 96792-5414 Ph: (808) 429-9766 | Shanelle Purdy Lmhc, Llc 87-1510 Kuaha St Waianae HI 96792-5414 Ph: (808) 429-9766 |
| NPI Number | 1265120182 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265120182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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