Provider Demographics
NPI:1073053005
Name:KAPOLEI COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:KAPOLEI COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CSAC
Authorized Official - Phone:808-202-0919
Mailing Address - Street 1:2176 LAUWILIWILI ST
Mailing Address - Street 2:UNIT 1
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1881
Mailing Address - Country:US
Mailing Address - Phone:808-330-6121
Mailing Address - Fax:808-200-4955
Practice Address - Street 1:2176 LAUWILIWILI ST
Practice Address - Street 2:UNIT 1
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1881
Practice Address - Country:US
Practice Address - Phone:808-330-6121
Practice Address - Fax:808-200-4955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty