Provider Demographics
NPI:1467969386
Name:JEFFREYPEARSCOUNSELINGLLC
Entity Type:Organization
Organization Name:JEFFREYPEARSCOUNSELINGLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PEARS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-634-9992
Mailing Address - Street 1:1936 HALEUKANA ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-8972
Mailing Address - Country:US
Mailing Address - Phone:808-634-9992
Mailing Address - Fax:
Practice Address - Street 1:4303 RICE ST STE C3
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1333
Practice Address - Country:US
Practice Address - Phone:808-634-9992
Practice Address - Fax:808-748-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-30
Last Update Date:2017-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-456101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty