Provider Demographics
NPI:1265104509
Name:CHELSEA HAALAND LCSW LLC
Entity type:Organization
Organization Name:CHELSEA HAALAND LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAALAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-209-7757
Mailing Address - Street 1:PO BOX 3478
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-3478
Mailing Address - Country:US
Mailing Address - Phone:808-209-7757
Mailing Address - Fax:
Practice Address - Street 1:73-4609 KALOKO LOA PLACE
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740
Practice Address - Country:US
Practice Address - Phone:808-209-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty