Provider Demographics
NPI:1831975374
Name:OLA HOU CLINIC
Entity type:Organization
Organization Name:OLA HOU CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-551-4909
Mailing Address - Street 1:98-084 KAMEHAMEHA HIGHWAY SUITE 306
Mailing Address - Street 2:
Mailing Address - City:ALEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-487-5433
Mailing Address - Fax:
Practice Address - Street 1:98-084 KAMEHAMEHA HIGHWAY SUITE 306
Practice Address - Street 2:
Practice Address - City:ALEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-487-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty