Provider Demographics
NPI:1770260465
Name:ALOHA PSYCHIATRY LLC
Entity type:Organization
Organization Name:ALOHA PSYCHIATRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:KOREY
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-327-9609
Mailing Address - Street 1:75-5722 KUAKINI HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1721
Mailing Address - Country:US
Mailing Address - Phone:808-327-9609
Mailing Address - Fax:808-444-3478
Practice Address - Street 1:75-5591 PALANI RD STE 2002
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3634
Practice Address - Country:US
Practice Address - Phone:808-327-9609
Practice Address - Fax:808-327-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty