Provider Demographics
NPI:1427584101
Name:PSYCHOLOGICAL WELLNESS SERVICES OF HAWAII, LLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL WELLNESS SERVICES OF HAWAII, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KALEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDLER-AH SING
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:8087-380-2099
Mailing Address - Street 1:PO BOX 755
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-0755
Mailing Address - Country:US
Mailing Address - Phone:808-738-2099
Mailing Address - Fax:808-200-1290
Practice Address - Street 1:928 NUUANU AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5190
Practice Address - Country:US
Practice Address - Phone:808-738-2099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC 360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty