Healthcare Provider Details

I. General information

NPI: 1619645413
Provider Name (Legal Business Name): ALOHA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2021
Last Update Date: 09/06/2021
Certification Date: 09/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17505 N 79TH AVE STE 205A
GLENDALE AZ
85308-8726
US

IV. Provider business mailing address

14305 W SIERRA ST
SURPRISE AZ
85379-4415
US

V. Phone/Fax

Practice location:
  • Phone: 206-818-2119
  • Fax:
Mailing address:
  • Phone: 206-818-2119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARI SHORT
Title or Position: OWNER
Credential: LMFT
Phone: 206-818-2119