Provider Demographics
NPI:1326687617
Name:MADELINE KEKIPI
Entity Type:Organization
Organization Name:MADELINE KEKIPI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE ANN
Authorized Official - Middle Name:LOLANI
Authorized Official - Last Name:KEKIPI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-306-6333
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-0151
Mailing Address - Country:US
Mailing Address - Phone:808-306-6333
Mailing Address - Fax:808-696-1179
Practice Address - Street 1:86-088 FARRINGTON HWY # C107
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3067
Practice Address - Country:US
Practice Address - Phone:808-306-6333
Practice Address - Fax:808-696-1179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty