Provider Demographics
NPI:1225658370
Name:KREPPS, MALGORZATA B (LMHC)
Entity Type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:B
Last Name:KREPPS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4992
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-4992
Mailing Address - Country:US
Mailing Address - Phone:808-987-3957
Mailing Address - Fax:
Practice Address - Street 1:74-5577 PALANI RD UNIT 4992
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96745-7220
Practice Address - Country:US
Practice Address - Phone:808-987-3957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-18
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health