| Elemental Couple And Family Therapy | |
|
260 Kamehameha Ave Hilo HI 96720-2859 | |
| (612) 644-0737 | |
| Not Available |
| Full Name | Elemental Couple And Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 260 Kamehameha Ave, Hilo, Hawaii |
| Authorized Official Name and Position | Vishwani Ram-souza (CO-OWNER) |
| Authorized Official Contact | 6126440737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Couple And Family Therapy 260 Kamehameha Ave Hilo HI 96720-2859 Ph: (612) 644-0737 | Elemental Couple And Family Therapy 260 Kamehameha Ave Hilo HI 96720-2859 Ph: (612) 644-0737 |
| NPI Number | 1043745532 |
|---|---|
| Provider Enumeration Date | 04/22/2017 |
| Last Update Date | 04/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043745532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT-438 (Hawaii) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | MFT-397 (Hawaii) | Secondary |
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