| Root2rise Cooperative | |
|
234 Waianuenue Ave Ste 216 Hilo HI 96720-2418 | |
| (808) 557-9537 | |
| Not Available |
| Full Name | Root2rise Cooperative |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 234 Waianuenue Ave Ste 216, Hilo, Hawaii |
| Authorized Official Name and Position | Kimberly Bates Pierce (FOUNDER) |
| Authorized Official Contact | 8085579537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root2rise Cooperative 16 Manulele St Hilo HI 96720-1628 Ph: (808) 557-9537 | Root2rise Cooperative 234 Waianuenue Ave Ste 216 Hilo HI 96720-2418 Ph: (808) 557-9537 |
| NPI Number | 1326556556 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326556556 | NPI | - | NPPES |
| 1477700367 | Medicaid | HI | |
| 1174770879 | Medicaid | HI | |
| 1952601130 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 318 (Hawaii) | Primary |
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