Provider Demographics
NPI:1376910679
Name:NAPUALEI COUNSELING LLC
Entity Type:Organization
Organization Name:NAPUALEI COUNSELING LLC
Other - Org Name:DBA ELLEN EBERHARDT LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:I N
Authorized Official - Last Name:EBERHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-291-4347
Mailing Address - Street 1:860 HALEKAUWILA ST
Mailing Address - Street 2:#2902
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5326
Mailing Address - Country:US
Mailing Address - Phone:808-291-4347
Mailing Address - Fax:
Practice Address - Street 1:860 HALEKAUWILA ST
Practice Address - Street 2:#2902
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5326
Practice Address - Country:US
Practice Address - Phone:808-291-4347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-22
Last Update Date:2015-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI40221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHALE KIPA454Medicaid