| Follow Your Dreams | |
|
2200 Main Street Suite 505 Wailuku HI 96793-1624 | |
| (808) 430-3176 | |
| (808) 878-2970 |
| Full Name | Follow Your Dreams |
|---|---|
| Speciality | Social Worker |
| Location | 2200 Main Street, Wailuku, Hawaii |
| Authorized Official Name and Position | Lynda M. Wright (OWNER/PRESIDENT) |
| Authorized Official Contact | 8088782970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Follow Your Dreams 2200 Main Street Suite 505 Wailuku HI 96793-1624 Ph: (808) 430-3176 | Follow Your Dreams 2200 Main Street Suite 505 Wailuku HI 96793-1624 Ph: (808) 430-3176 |
| NPI Number | 1407023526 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 04/13/2009 |
| Medicare PECOS PAC ID | 7315005907 |
|---|---|
| Medicare Enrollment ID | O20081027000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407023526 | NPI | - | NPPES |
| 249963 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3080 (Hawaii) | Primary |
| 251S00000X | Community/behavioral Health | 3080 (Hawaii) | Secondary |
| Provider Name | Lynda M Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730397829 PECOS PAC ID: 1355327487 Enrollment ID: I20040628001523 |
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