Provider Demographics
NPI:1023778446
Name:COLLABORATIVE COUNSELING CENTER OF HAWAII,LLC
Entity type:Organization
Organization Name:COLLABORATIVE COUNSELING CENTER OF HAWAII,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:ZULAIKA
Authorized Official - Last Name:STEFFANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-321-9322
Mailing Address - Street 1:91-1061 WAIINU ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6410
Mailing Address - Country:US
Mailing Address - Phone:808-741-2079
Mailing Address - Fax:808-200-4955
Practice Address - Street 1:2176 LAUWILIWILI ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1881
Practice Address - Country:US
Practice Address - Phone:808-369-9514
Practice Address - Fax:808-200-4955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLLABORATIVE COUNSELING CENTER OF HAWAII, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health