Timothy Liu Lmhc Inc | |
1188 Bishop St Ste 3510 Honolulu HI 96813-3314 | |
(808) 354-5890 | |
Not Available |
Full Name | Timothy Liu Lmhc Inc |
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Speciality | Clinic/Center |
Location | 1188 Bishop St Ste 3510, Honolulu, Hawaii |
Authorized Official Name and Position | Joanna Davis (BILLER) |
Authorized Official Contact | 8088230103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Timothy Liu Lmhc Inc 364 Kaholalele Rd Kapaa HI 96746-9358 Ph: () - | Timothy Liu Lmhc Inc 1188 Bishop St Ste 3510 Honolulu HI 96813-3314 Ph: (808) 354-5890 |
NPI Number | 1184101107 |
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Provider Enumeration Date | 07/23/2018 |
Last Update Date | 07/23/2018 |
Medicare PECOS PAC ID | 0143669184 |
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Medicare Enrollment ID | O20240423003528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184101107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Timothy Liu |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104185016 PECOS PAC ID: 9638511025 Enrollment ID: I20240530003993 |
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