| Intentional Life Counseling Llc | |
|
1296 Kapiolani Blvd Apt 604 Honolulu HI 96814-2878 | |
| (808) 348-4789 | |
| Not Available |
| Full Name | Intentional Life Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1296 Kapiolani Blvd Apt 604, Honolulu, Hawaii |
| Authorized Official Name and Position | Mina N/a Casey-pang (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8083484789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Life Counseling Llc Po Box 235151 Honolulu HI 96823-3502 Ph: (808) 800-1264 | Intentional Life Counseling Llc 1296 Kapiolani Blvd Apt 604 Honolulu HI 96814-2878 Ph: (808) 348-4789 |
| NPI Number | 1033819685 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 0143680850 |
|---|---|
| Medicare Enrollment ID | O20230713000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033819685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mina Casey-pang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831770221 PECOS PAC ID: 6305206012 Enrollment ID: I20230804001757 |
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