| Warrior Ohana Therapy, Llc | |
|
45-955 Kamehameha Hwy Ste 401 Kaneohe HI 96744-3222 | |
| (808) 222-2729 | |
| (808) 247-4891 |
| Full Name | Warrior Ohana Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 45-955 Kamehameha Hwy Ste 401, Kaneohe, Hawaii |
| Authorized Official Name and Position | Terry Ann Kaniaupio (LCSW OWNER PROVIDER) |
| Authorized Official Contact | 8082222729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warrior Ohana Therapy, Llc 45-686 Halemuku Way Kaneohe HI 96744-3163 Ph: (808) 222-2729 | Warrior Ohana Therapy, Llc 45-955 Kamehameha Hwy Ste 401 Kaneohe HI 96744-3222 Ph: (808) 222-2729 |
| NPI Number | 1528779790 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 0648641530 |
|---|---|
| Medicare Enrollment ID | O20230201002253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528779790 | NPI | - | NPPES |
| 881674575 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Terry Ann Kaniaupio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104882398 PECOS PAC ID: 2466823356 Enrollment ID: I20230201002402 |
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