Provider Demographics
NPI:1407438013
Name:NEILANI SIATINI-VALENCIA, LCSW, LLC
Entity Type:Organization
Organization Name:NEILANI SIATINI-VALENCIA, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEILANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIATINI-VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-270-8437
Mailing Address - Street 1:PO BOX 300683
Mailing Address - Street 2:
Mailing Address - City:KAAAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96730-0681
Mailing Address - Country:US
Mailing Address - Phone:919-270-8437
Mailing Address - Fax:808-427-4217
Practice Address - Street 1:45-955 KAMEHAMEHA HWY STE 401
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3222
Practice Address - Country:US
Practice Address - Phone:919-270-8437
Practice Address - Fax:808-427-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health