| The Counseling Center Hawaii | |
|
1822 Keeaumoku St Honolulu HI 96822-3001 | |
| (808) 527-4636 | |
| Not Available |
| Full Name | The Counseling Center Hawaii |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1822 Keeaumoku St, Honolulu, Hawaii |
| Authorized Official Name and Position | Chiyo Churchill (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8085274636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center Hawaii 1822 Keeaumoku St Honolulu HI 96822-3001 Ph: (808) 527-4636 | The Counseling Center Hawaii 1822 Keeaumoku St Honolulu HI 96822-3001 Ph: (808) 527-4636 |
| NPI Number | 1508134107 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Medicare PECOS PAC ID | 7416372081 |
|---|---|
| Medicare Enrollment ID | O20200730001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508134107 | NPI | - | NPPES |
| Provider Name | Dawn Mari Tawata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245876416 PECOS PAC ID: 5395161962 Enrollment ID: I20200812003879 |
| Provider Name | Jessica Johanna Nalani Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629622576 PECOS PAC ID: 6002234093 Enrollment ID: I20200908001287 |
| Provider Name | Michal Cordova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730754334 PECOS PAC ID: 4183024326 Enrollment ID: I20210610000405 |
| Provider Name | Chiyo Churchill |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609004423 PECOS PAC ID: 3779908348 Enrollment ID: I20231204003171 |
| Provider Name | Amy Nakanishi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518552066 PECOS PAC ID: 4082064084 Enrollment ID: I20240102003777 |
| Provider Name | Lisa Akemi Peck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902240138 PECOS PAC ID: 3476904400 Enrollment ID: I20240103004778 |
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