Provider Demographics
NPI:1770074031
Name:ESS COUNSELING LLC
Entity type:Organization
Organization Name:ESS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:NCC,LMHC,LPC,RPT
Authorized Official - Phone:808-499-8939
Mailing Address - Street 1:94-615 KAHAKEA ST APT 10C
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1146
Mailing Address - Country:US
Mailing Address - Phone:808-499-8939
Mailing Address - Fax:808-748-0496
Practice Address - Street 1:94-615 KAHAKEA ST APT 10C
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1146
Practice Address - Country:US
Practice Address - Phone:808-499-8939
Practice Address - Fax:808-748-0496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI483261QM0801X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty