Healthcare Provider Details

I. General information

NPI: 1922931294
Provider Name (Legal Business Name): EMILY ELIZABETH SPADACCINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 KILAUEA AVE STE A
HILO HI
96720-4291
US

IV. Provider business mailing address

188 HALE ST APT 1D
HILO HI
96720-2070
US

V. Phone/Fax

Practice location:
  • Phone: 808-935-2188
  • Fax:
Mailing address:
  • Phone: 215-375-2234
  • 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: