Provider Demographics
NPI:1912244591
Name:NOELLE CAMBEILH L.C.S.W, LLC
Entity Type:Organization
Organization Name:NOELLE CAMBEILH L.C.S.W, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMBEILH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-634-0127
Mailing Address - Street 1:395A KAHOLALELE RD
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-8326
Mailing Address - Country:US
Mailing Address - Phone:808-634-0127
Mailing Address - Fax:808-822-5454
Practice Address - Street 1:395A KAHOLALELE RD
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-8326
Practice Address - Country:US
Practice Address - Phone:808-634-0127
Practice Address - Fax:808-822-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI35691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty