| Wailea Counseling & Healing Arts Maui Inc | |
|
95 E Lipoa St Ste 204 Kihei HI 96753-8194 | |
| (808) 280-5804 | |
| (833) 468-0079 |
| Full Name | Wailea Counseling & Healing Arts Maui Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 95 E Lipoa St Ste 204, Kihei, Hawaii |
| Authorized Official Name and Position | Jacqueline Tyler (DIRECTOR) |
| Authorized Official Contact | 8082805804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wailea Counseling & Healing Arts Maui Inc Po Box 532698 Kihei HI 96753-2644 Ph: (808) 280-5804 | Wailea Counseling & Healing Arts Maui Inc 95 E Lipoa St Ste 204 Kihei HI 96753-8194 Ph: (808) 280-5804 |
| NPI Number | 1790422509 |
|---|---|
| Provider Enumeration Date | 05/14/2022 |
| Last Update Date | 05/14/2022 |
| Certification Date | 05/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790422509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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