Provider Demographics
NPI:1710236468
Name:SPIRIT OF ALOHA OUTREACHES
Entity Type:Organization
Organization Name:SPIRIT OF ALOHA OUTREACHES
Other - Org Name:NEW HOPE COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOVLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:808-596-4555
Mailing Address - Street 1:401 KAMAKEE ST STE 310
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4243
Mailing Address - Country:US
Mailing Address - Phone:808-596-4555
Mailing Address - Fax:
Practice Address - Street 1:401 KAMAKEE ST STE 310
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4243
Practice Address - Country:US
Practice Address - Phone:808-596-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI313251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health