Provider Demographics
NPI:1770632101
Name:MALONEY, MERI BROOKE (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:MERI
Middle Name:BROOKE
Last Name:MALONEY
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:MERI BROOKE
Other - Middle Name:JISQWA
Other - Last Name:GITHEGI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLPC, LPC
Mailing Address - Street 1:94-509 HOKUALA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2313
Mailing Address - Country:US
Mailing Address - Phone:808-979-1783
Mailing Address - Fax:
Practice Address - Street 1:94-509 HOKUALA ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2313
Practice Address - Country:US
Practice Address - Phone:808-979-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional