Provider Demographics
NPI:1639824733
Name:CHARLES KARSTERS LLC
Entity Type:Organization
Organization Name:CHARLES KARSTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:H
Authorized Official - Last Name:KARSTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-429-9932
Mailing Address - Street 1:1663 LIHOLIHO ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2948
Mailing Address - Country:US
Mailing Address - Phone:808-429-9932
Mailing Address - Fax:
Practice Address - Street 1:1663 LIHOLIHO ST APT 1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2948
Practice Address - Country:US
Practice Address - Phone:808-429-9932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1881990141Medicaid