Provider Demographics
NPI:1659921351
Name:HALES, MARGARET KOSCHIK
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:KOSCHIK
Last Name:HALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:KOSCHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:91-1841 KEAUNUI DRIVE
Mailing Address - Street 2:UNIT 537
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4262
Mailing Address - Country:US
Mailing Address - Phone:323-332-1215
Mailing Address - Fax:
Practice Address - Street 1:91-1841 KEAUNUI DRIVE
Practice Address - Street 2:UNIT 537
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:323-332-1215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-865101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional