| Integrated Mental Health Service Inc | |
|
1847 S Kihei Rd Ste 205 Kihei HI 96753-7939 | |
| (808) 280-2067 | |
| Not Available |
| Full Name | Integrated Mental Health Service Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1847 S Kihei Rd Ste 205, Kihei, Hawaii |
| Authorized Official Name and Position | Cheri Ewing (OWNER) |
| Authorized Official Contact | 8082802067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mental Health Service Inc Po Box 958 Kihei HI 96753-0958 Ph: (808) 280-2067 | Integrated Mental Health Service Inc 1847 S Kihei Rd Ste 205 Kihei HI 96753-7939 Ph: (808) 280-2067 |
| NPI Number | 1023246790 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4183752280 |
|---|---|
| Medicare Enrollment ID | O20100511000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023246790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Cheri A Ewing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083775431 PECOS PAC ID: 6507891447 Enrollment ID: I20050929000599 |
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