Healthcare Provider Details

I. General information

NPI: 1942658448
Provider Name (Legal Business Name): RANDALL PAGLINAWAN LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-149 MOANALUA RD STE 201
AIEA HI
96701-4001
US

IV. Provider business mailing address

99-149 MOANALUA RD STE 201
AIEA HI
96701-4001
US

V. Phone/Fax

Practice location:
  • Phone: 808-263-1923
  • Fax:
Mailing address:
  • Phone: 808-909-8667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: