| Wellness Counseling Center, Llc | |
|
1314 S King St Ste 1460 Honolulu HI 96814-1948 | |
| (801) 735-8898 | |
| (866) 230-2579 |
| Full Name | Wellness Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1314 S King St Ste 1460, Honolulu, Hawaii |
| Authorized Official Name and Position | Ryan Brimley (OWNER) |
| Authorized Official Contact | 8017358898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Counseling Center, Llc 1314 S King St Ste 1460 Honolulu HI 96814-1948 Ph: (801) 735-8898 | Wellness Counseling Center, Llc 1314 S King St Ste 1460 Honolulu HI 96814-1948 Ph: (801) 735-8898 |
| NPI Number | 1497304158 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Medicare PECOS PAC ID | 1951633247 |
|---|---|
| Medicare Enrollment ID | O20200803001676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497304158 | NPI | - | NPPES |
| 823577 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ryan James Brimley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467830752 PECOS PAC ID: 8426380718 Enrollment ID: I20191106002079 |
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