Provider Demographics
NPI:1689913048
Name:CATHERINE PRESCOTT INC.
Entity Type:Organization
Organization Name:CATHERINE PRESCOTT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-721-4462
Mailing Address - Street 1:333 AOLOA ST.
Mailing Address - Street 2:234
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3028
Mailing Address - Country:US
Mailing Address - Phone:808-721-4462
Mailing Address - Fax:
Practice Address - Street 1:333 AOLOA ST
Practice Address - Street 2:234
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3042
Practice Address - Country:US
Practice Address - Phone:808-721-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHERINE PRESCOTT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 31321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty