Provider Demographics
NPI:1417737388
Name:OLAKINO COUNSELING LLC
Entity Type:Organization
Organization Name:OLAKINO COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SHIFFLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:405-812-9159
Mailing Address - Street 1:6811 ENGANO LN
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-3041
Mailing Address - Country:US
Mailing Address - Phone:405-812-9159
Mailing Address - Fax:808-481-4850
Practice Address - Street 1:6811 ENGANO LN
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-3041
Practice Address - Country:US
Practice Address - Phone:405-812-9159
Practice Address - Fax:808-481-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty