Provider Demographics
NPI:1568769297
Name:MENDES, RYNAE MALIA (CC)
Entity Type:Individual
Prefix:
First Name:RYNAE
Middle Name:MALIA
Last Name:MENDES
Suffix:
Gender:F
Credentials:CC
Other - Prefix:
Other - First Name:RYNAE
Other - Middle Name:MALIA
Other - Last Name:KAAWALOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16-2115 VISTA DR # 1011
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-7758
Mailing Address - Country:US
Mailing Address - Phone:808-756-3478
Mailing Address - Fax:
Practice Address - Street 1:16-2115 VISTA DR # 1011
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-7758
Practice Address - Country:US
Practice Address - Phone:808-756-3478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor