Provider Demographics
NPI:1437517158
Name:SERENA TREHERN
Entity Type:Organization
Organization Name:SERENA TREHERN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREHERN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-219-0479
Mailing Address - Street 1:1054 HELE ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3620
Mailing Address - Country:US
Mailing Address - Phone:808-219-0479
Mailing Address - Fax:808-744-9874
Practice Address - Street 1:1054 HELE ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3620
Practice Address - Country:US
Practice Address - Phone:808-219-0479
Practice Address - Fax:808-744-9874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4078251S00000X
NV5785-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health