Healthcare Provider Details

I. General information

NPI: 1861304644
Provider Name (Legal Business Name): VANESSA CARO-MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BISHOP ST STE 2685A
HONOLULU HI
96813-3404
US

IV. Provider business mailing address

670 TETON DR
LOTHIAN MD
20711-9547
US

V. Phone/Fax

Practice location:
  • Phone: 808-427-4381
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1236
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: