Provider Demographics
NPI:1164848842
Name:HAWAII WOMENS WELLNESS COUNSELING, LLC
Entity Type:Organization
Organization Name:HAWAII WOMENS WELLNESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VISHAKA
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:JOKIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-352-1933
Mailing Address - Street 1:6600 KALANIANAOLE HWY
Mailing Address - Street 2:STE 225
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1281
Mailing Address - Country:US
Mailing Address - Phone:808-342-3138
Mailing Address - Fax:808-394-2826
Practice Address - Street 1:6600 KALANIANAOLE HWY
Practice Address - Street 2:STE 225
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1281
Practice Address - Country:US
Practice Address - Phone:808-342-3138
Practice Address - Fax:808-394-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI37021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty