Provider Demographics
NPI:1700639895
Name:FROM EAST TO WEST COUNSELING LLC
Entity Type:Organization
Organization Name:FROM EAST TO WEST COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SATOKO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKI-O'DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-276-2092
Mailing Address - Street 1:32 PONIU CIR
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2909
Mailing Address - Country:US
Mailing Address - Phone:808-276-2092
Mailing Address - Fax:
Practice Address - Street 1:7 AEWA PL STE 7
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8882
Practice Address - Country:US
Practice Address - Phone:808-276-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty