Healthcare Provider Details

I. General information

NPI: 1659985315
Provider Name (Legal Business Name): MILK & HONEY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 S KING ST STE 1055
HONOLULU HI
96814-1945
US

IV. Provider business mailing address

524 KEAWE ST # 999
HONOLULU HI
96813-3101
US

V. Phone/Fax

Practice location:
  • Phone: 808-207-6608
  • Fax:
Mailing address:
  • Phone: 808-207-6608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE RENEE OSBORNE
Title or Position: CO-OWNER & THERAPIST
Credential: M.S./ED.S, LCMHC
Phone: 808-207-6608