Provider Demographics
NPI:1003338559
Name:KHARB, NEENEL (LMT)
Entity Type:Individual
Prefix:
First Name:NEENEL
Middle Name:
Last Name:KHARB
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 792001
Mailing Address - Street 2:
Mailing Address - City:PAIA
Mailing Address - State:HI
Mailing Address - Zip Code:96779-2001
Mailing Address - Country:US
Mailing Address - Phone:310-467-5928
Mailing Address - Fax:
Practice Address - Street 1:718 HAIKU RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5846
Practice Address - Country:US
Practice Address - Phone:180-857-5988
Practice Address - Fax:808-575-9888
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-15
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-905-0101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health