Provider Demographics
NPI:1720552631
Name:PAHOA COUNSELING LLC
Entity Type:Organization
Organization Name:PAHOA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-333-2449
Mailing Address - Street 1:PO BOX 1104
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-1104
Mailing Address - Country:US
Mailing Address - Phone:808-333-2449
Mailing Address - Fax:808-965-8882
Practice Address - Street 1:15-3039 PAHOA VILLAGE RD
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-1104
Practice Address - Country:US
Practice Address - Phone:808-333-2449
Practice Address - Fax:808-965-8882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty