Provider Demographics
NPI:1770814592
Name:OHANA BEHAVIORAL CARE, LLC
Entity Type:Organization
Organization Name:OHANA BEHAVIORAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHEYENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-941-1800
Mailing Address - Street 1:1448 YOUNG ST STE 12
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1865
Mailing Address - Country:US
Mailing Address - Phone:808-941-1800
Mailing Address - Fax:
Practice Address - Street 1:1448 YOUNG ST STE 12
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1865
Practice Address - Country:US
Practice Address - Phone:808-941-1800
Practice Address - Fax:888-871-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency