Provider Demographics
NPI:1962449884
Name:HAWAII COUNSELING & EDUCATION CENTER, INC
Entity Type:Organization
Organization Name:HAWAII COUNSELING & EDUCATION CENTER, INC
Other - Org Name:MINNESOTA COUNSELING & EDUCATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:SICKORA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CSAC
Authorized Official - Phone:808-254-6484
Mailing Address - Street 1:970 N KALAHEO AVE
Mailing Address - Street 2:SUITE C201
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1866
Mailing Address - Country:US
Mailing Address - Phone:808-254-6484
Mailing Address - Fax:808-254-6427
Practice Address - Street 1:970 N KALAHEO AVE
Practice Address - Street 2:SUITE C201
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1866
Practice Address - Country:US
Practice Address - Phone:808-254-6484
Practice Address - Fax:808-254-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000022145OtherHMSA