Provider Demographics
NPI:1528534690
Name:DAWN BAXTER, LLC
Entity Type:Organization
Organization Name:DAWN BAXTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT #412
Authorized Official - Phone:808-294-9697
Mailing Address - Street 1:6600 KALANIANAOLE HWY STE 225
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1281
Mailing Address - Country:US
Mailing Address - Phone:808-394-2800
Mailing Address - Fax:808-394-2826
Practice Address - Street 1:6600 KALANIANAOLE HWY STE 225
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1281
Practice Address - Country:US
Practice Address - Phone:808-394-2800
Practice Address - Fax:808-394-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty