Provider Demographics
NPI:1164912663
Name:HO'OMAU THERAPY, LLC
Entity Type:Organization
Organization Name:HO'OMAU THERAPY, LLC
Other - Org Name:SHALIA KAMAKELE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAKELE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-201-3339
Mailing Address - Street 1:41-038 WAILEA ST STE C
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1671
Mailing Address - Country:US
Mailing Address - Phone:808-215-9272
Mailing Address - Fax:808-791-8343
Practice Address - Street 1:41-038 WAILEA ST STE C
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1671
Practice Address - Country:US
Practice Address - Phone:808-215-9272
Practice Address - Fax:808-791-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI43011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty