Provider Demographics
NPI:1275984676
Name:COUNSELING ALTERNATIVES FOR RECOVERY MAINTENANCE
Entity Type:Organization
Organization Name:COUNSELING ALTERNATIVES FOR RECOVERY MAINTENANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, CSAC
Authorized Official - Phone:808-228-9450
Mailing Address - Street 1:PO BOX 901420
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-1420
Mailing Address - Country:US
Mailing Address - Phone:808-228-9450
Mailing Address - Fax:
Practice Address - Street 1:1793 KEKAULIKE AVE
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-8920
Practice Address - Country:US
Practice Address - Phone:808-228-9450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 41221041C0700X
HILCSW41221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI=========Medicaid