Provider Demographics
NPI:1164199956
Name:HANAI CENTER FOR COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:HANAI CENTER FOR COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:GARUBBA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-529-1399
Mailing Address - Street 1:31371 RANCHO VIEJO RD STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1849
Mailing Address - Country:US
Mailing Address - Phone:949-529-1399
Mailing Address - Fax:213-455-4908
Practice Address - Street 1:31371 RANCHO VIEJO RD STE 203
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1849
Practice Address - Country:US
Practice Address - Phone:949-529-1399
Practice Address - Fax:213-455-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty