| House Of Healing Hawaii | |
|
500 Ala Moana Blvd Ste 7400 Honolulu HI 96813-4902 | |
| (808) 476-8983 | |
| Not Available |
| Full Name | House Of Healing Hawaii |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 Ala Moana Blvd Ste 7400, Honolulu, Hawaii |
| Authorized Official Name and Position | Shenelle Micole Foster (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8084768983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Healing Hawaii 500 Ala Moana Blvd Ste 7400 Honolulu HI 96813-4902 Ph: (808) 476-8983 | House Of Healing Hawaii 500 Ala Moana Blvd Ste 7400 Honolulu HI 96813-4902 Ph: (808) 476-8983 |
| NPI Number | 1508574229 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 1759725930 |
|---|---|
| Medicare Enrollment ID | O20240215001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508574229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shenelle Micole Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982113841 PECOS PAC ID: 6901287515 Enrollment ID: I20220713003373 |
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