Healthcare Provider Details
I. General information
NPI: 1659921351
Provider Name (Legal Business Name): MARGARET KOSCHIK HALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/13/2019
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1441 KAPIOLANI BLVD STE 1114 PMB 936165
HONOLULU HI
96814
US
IV. Provider business mailing address
1441 KAPIOLANI BLVD STE 1114 PMB 936165
HONOLULU HI
96814
US
V. Phone/Fax
- Phone: 323-332-1215
- Fax:
- Phone: 323-332-1215
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0701014347 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | MHC-865 |
| License Number State | HI |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: