Healthcare Provider Details

I. General information

NPI: 1629930094
Provider Name (Legal Business Name): MADONNA TAUEU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2128 OLD FT WEAVER RD
EWA BEACH HI
96706-1911
US

IV. Provider business mailing address

91-2128 OLD FT WEAVER RD
EWA BEACH HI
96706-1911
US

V. Phone/Fax

Practice location:
  • Phone: 808-754-9858
  • Fax:
Mailing address:
  • Phone: 808-589-1829
  • Fax: 808-589-2610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1190-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: