Provider Demographics
NPI:1891577946
Name:KEAHLOHA HOU INC.
Entity Type:Organization
Organization Name:KEAHLOHA HOU INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAGARANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-255-3652
Mailing Address - Street 1:2279 AAMANU ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1236
Mailing Address - Country:US
Mailing Address - Phone:808-255-3652
Mailing Address - Fax:
Practice Address - Street 1:941 KAMEHAMEHA HWY STE 204
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2516
Practice Address - Country:US
Practice Address - Phone:808-255-3652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty