Provider Demographics
NPI:1376240408
Name:ARCE, MICHAEL BRANDON (MSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:BRANDON
Last Name:ARCE
Suffix:
Gender:M
Credentials:MSW
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 63
Mailing Address - Street 2:
Mailing Address - City:HOOLEHUA
Mailing Address - State:HI
Mailing Address - Zip Code:96729-0063
Mailing Address - Country:US
Mailing Address - Phone:808-336-0725
Mailing Address - Fax:
Practice Address - Street 1:2825 FARRINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:HOOLEHUA
Practice Address - State:HI
Practice Address - Zip Code:96729
Practice Address - Country:US
Practice Address - Phone:336-808-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker