| Pau Hana Counseling, Llc | |
|
224 Kamehameha Ave # 201 Hilo HI 96720-2860 | |
| (808) 825-4214 | |
| (866) 985-6799 |
| Full Name | Pau Hana Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 224 Kamehameha Ave # 201, Hilo, Hawaii |
| Authorized Official Name and Position | Erin C Gustin (SOLE MBR) |
| Authorized Official Contact | 8088254214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pau Hana Counseling, Llc 13-3435 Maile St Pahoa HI 96778-8205 Ph: (808) 825-4214 | Pau Hana Counseling, Llc 224 Kamehameha Ave # 201 Hilo HI 96720-2860 Ph: (808) 825-4214 |
| NPI Number | 1447852793 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 03/05/2021 |
| Certification Date | 03/05/2021 |
| Medicare PECOS PAC ID | 6406263342 |
|---|---|
| Medicare Enrollment ID | O20210322000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447852793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Erin C Gustin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710168034 PECOS PAC ID: 4587958921 Enrollment ID: I20160809000526 |
| Provider Name | Hannah Katherine Hancock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972143741 PECOS PAC ID: 7214351352 Enrollment ID: I20200722000237 |
| Provider Name | Tana Teicheira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023133816 PECOS PAC ID: 1355236597 Enrollment ID: I20220420000561 |
| Provider Name | Ciro Dufrayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609388172 PECOS PAC ID: 0547657678 Enrollment ID: I20220420000939 |
| Provider Name | Keynadomnicia Chioma Udenze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679923635 PECOS PAC ID: 2365595527 Enrollment ID: I20220526001899 |
| Provider Name | Alan D Mease |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649686643 PECOS PAC ID: 6002294667 Enrollment ID: I20220609002799 |
| Provider Name | Lisa Chilson-mccraw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861086423 PECOS PAC ID: 5395127377 Enrollment ID: I20220808002272 |
| Provider Name | Jody K Dunlap |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073593612 PECOS PAC ID: 1557394897 Enrollment ID: I20220823003297 |
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