Provider Demographics
NPI:1407574809
Name:PROTEA COUNSELING LLC
Entity Type:Organization
Organization Name:PROTEA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHION
Authorized Official - Middle Name:REIKO
Authorized Official - Last Name:PRITCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:808-285-2143
Mailing Address - Street 1:255 HUALI ST APT 406
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-1865
Mailing Address - Country:US
Mailing Address - Phone:808-285-2143
Mailing Address - Fax:
Practice Address - Street 1:255 HUALI ST APT 406
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-1865
Practice Address - Country:US
Practice Address - Phone:808-285-2143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service