Healthcare Provider Details

I. General information

NPI: 1922756832
Provider Name (Legal Business Name): XPLOR COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2022
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N NIMITZ HWY RM C303
HONOLULU HI
96817-6501
US

IV. Provider business mailing address

1055 KALIHIWAI PL
HONOLULU HI
96825-1362
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-9648
  • Fax: 855-264-1894
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: ELISABETH PESCE
Title or Position: CEO
Credential:
Phone: 904-605-4986