Provider Demographics
NPI:1689742975
Name:LOKAHI BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:LOKAHI BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BROKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-545-2323
Mailing Address - Street 1:1188 BISHOP ST
Mailing Address - Street 2:SUITE 1107
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3301
Mailing Address - Country:US
Mailing Address - Phone:808-545-2323
Mailing Address - Fax:808-545-3944
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 1107
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-545-2323
Practice Address - Fax:808-545-3944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD9822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000220947OtherHMSA HCFA 1500 CLAIMS
HI0000220947OtherHMSA
HI49357801OtherALOHACARE
HIX89012Medicare UPIN