Provider Demographics
NPI:1164198537
Name:SANDRA L SALMERS
Entity Type:Organization
Organization Name:SANDRA L SALMERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SALMERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-635-7329
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-0173
Mailing Address - Country:US
Mailing Address - Phone:808-635-7329
Mailing Address - Fax:808-821-8895
Practice Address - Street 1:2970 KELE ST STE 112A
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1822
Practice Address - Country:US
Practice Address - Phone:808-635-7329
Practice Address - Fax:808-821-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty