Provider Demographics
NPI:1891557781
Name:ISLAND OHANA COUNSELING
Entity Type:Organization
Organization Name:ISLAND OHANA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:ALISE
Authorized Official - Last Name:MOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-384-0735
Mailing Address - Street 1:150 HAMAKUA DR # 399
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2825
Mailing Address - Country:US
Mailing Address - Phone:808-384-0735
Mailing Address - Fax:
Practice Address - Street 1:407 ULUNIU ST STE 105A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2530
Practice Address - Country:US
Practice Address - Phone:808-384-0735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty