Provider Demographics
NPI:1114355328
Name:TRISCELE SERVICES, INC.
Entity Type:Organization
Organization Name:TRISCELE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, CSAC
Authorized Official - Phone:808-551-5632
Mailing Address - Street 1:95-1063 KAAPEHA ST
Mailing Address - Street 2:#136
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4884
Mailing Address - Country:US
Mailing Address - Phone:808-551-5632
Mailing Address - Fax:808-621-0540
Practice Address - Street 1:319 N CANE ST
Practice Address - Street 2:A
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2130
Practice Address - Country:US
Practice Address - Phone:808-551-5632
Practice Address - Fax:808-621-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI174251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health