Provider Demographics
NPI:1750897492
Name:LOKAHI COUNSELING
Entity type:Organization
Organization Name:LOKAHI COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:KENELA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, CRC, CEDS
Authorized Official - Phone:360-259-9231
Mailing Address - Street 1:324 W BAY DR NW STE 216
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4926
Mailing Address - Country:US
Mailing Address - Phone:360-259-9231
Mailing Address - Fax:360-459-2290
Practice Address - Street 1:324 W BAY DR NW STE 216
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4926
Practice Address - Country:US
Practice Address - Phone:360-259-9231
Practice Address - Fax:360-459-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60203946101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty