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NPI Code Detail

MEDICARE: STEPHANIE M CAMPBELL MS

MEDICARE: STEPHANIE M CAMPBELL MS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588279327
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE M CAMPBELL MS
Provider Business Mailing Address
First Line : 88 KANOELEHUA AVE STE B107
Second Line :
City : HILO
State : HI
Zip : 96720-4685
Country : US
Telephone Number : 870-656-9572
Fax Number :
Provider Business Practice Location Address
First Line : 88 KANOELEHUA AVE STE B107
Second Line :
City : HILO
State : HI
Zip : 96720-4685
Country : US
Telephone Number : 808-933-0610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2020
Last Update Date : 01/27/2026

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Directions to “ STEPHANIE M CAMPBELL MS” Practice Location

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