Provider Demographics
NPI:1689889768
Name:PARADIGM HAWAII COUNSELING INC
Entity Type:Organization
Organization Name:PARADIGM HAWAII COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:R K B
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-225-1453
Mailing Address - Street 1:970 N KALAHEO AVE STE A216
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1869
Mailing Address - Country:US
Mailing Address - Phone:808-225-1453
Mailing Address - Fax:808-254-2827
Practice Address - Street 1:970 N KALAHEO AVE STE A216
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1869
Practice Address - Country:US
Practice Address - Phone:808-225-1453
Practice Address - Fax:808-254-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty