MEDICARE: GRACIA J ALVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		HI

General Provider Information

NPI Number	:	1417571753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACIA J ALVES

Provider Business Mailing Address
First Line	:	5362 KUMOLE ST APT A
Second Line	:
City	:	KAPAA
State	:	HI
Zip	:	96746-2256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4371 PUAOLE ST STE C
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1275
Country	:	US
Telephone Number	:	808-282-6050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	02/20/2026

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Directions to “ GRACIA J ALVES ” Practice Location

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