Forrest Alden Kaiao Wells, MHC, NCC | |
40 Aulike St, Suit 411, Kailua, HI 96734-2758 | |
(808) 222-3588 | |
(808) 262-2747 |
Full Name | Forrest Alden Kaiao Wells |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 40 Aulike St, Kailua, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720366545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MHC 263 (Hawaii) | Primary |
Entity Name | The Queens Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
Mailing Address | Practice Location Address |
---|---|
Forrest Alden Kaiao Wells, MHC, NCC 41-024 Hihimanu St, Waimanalo, HI 96795-1606 Ph: (808) 222-3588 | Forrest Alden Kaiao Wells, MHC, NCC 40 Aulike St, Suit 411, Kailua, HI 96734-2758 Ph: (808) 222-3588 |
Ms. Genotra D Brown, MSCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Aulike St Ste 411, Kailua, HI 96734 Phone: 808-664-3874 | |
Harumi Izumi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345 Kalama St, B-1, Kailua, HI 96734 Phone: 808-284-8473 | |
Gina Helm Eustaquio, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Uluniu St # 297, Kailua, HI 96734 Phone: 808-722-1265 | |
Angela Carlson Broff, MSCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Hekili St Ste A, #406, Kailua, HI 96734 Phone: 808-489-3548 Fax: 808-443-0708 | |
Ms. Laura Beth Harter, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 Akipohe St # 15c, Kailua, HI 96734 Phone: 719-659-6500 | |
Ms. Misha Nicole Harris, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: Hawaii Youth Correctional Facility, 42-470 Kalanianaole Hwy., Kailua, HI 96734 Phone: 808-266-9932 | |
Mrs. Diana Marie Kalan, MA, LMHC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1447 Onioni St, Kailua, HI 96734 Phone: 808-451-3960 Fax: 808-451-3961 |