Provider Demographics
NPI:1063010932
Name:DRUG, ALCOHOL, MENTAL HEALTH COUNSELING & EVALUATION SERVICES, INC
Entity Type:Organization
Organization Name:DRUG, ALCOHOL, MENTAL HEALTH COUNSELING & EVALUATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROONEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:402-871-9348
Mailing Address - Street 1:1097 KAUMOKU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1305
Mailing Address - Country:US
Mailing Address - Phone:402-871-9348
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST STE 1603
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3142
Practice Address - Country:US
Practice Address - Phone:808-295-5319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty