Healthcare Provider Details

I. General information

NPI: 1548177264
Provider Name (Legal Business Name): ANGUS HUANG-GOULD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 RAILROAD AVE
HILO HI
96720-7509
US

IV. Provider business mailing address

101 AUPUNI ST APT 715
HILO HI
96720-4256
US

V. Phone/Fax

Practice location:
  • Phone: 808-935-7949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: