Provider Demographics
NPI:1952432635
Name:ALOHA BEHAVIORAL CONSULTANTS, INC.
Entity Type:Organization
Organization Name:ALOHA BEHAVIORAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:M SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:PALAU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-399-1818
Mailing Address - Street 1:811 N HARRISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84404-3537
Mailing Address - Country:US
Mailing Address - Phone:801-399-1818
Mailing Address - Fax:801-782-8412
Practice Address - Street 1:811 N HARRISVILLE ROAD
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:UT
Practice Address - Zip Code:84404-2580
Practice Address - Country:US
Practice Address - Phone:801-399-1818
Practice Address - Fax:801-782-8412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1952432635Medicaid