Healthcare Provider Details

I. General information

NPI: 1043560089
Provider Name (Legal Business Name): HAWAII COUNSELING AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2012
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 S KING ST SUITE 230
HONOLULU HI
96814-2009
US

IV. Provider business mailing address

1350 S KING ST SUITE 230
HONOLULU HI
96814-2009
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-9998
  • Fax: 808-591-9992
Mailing address:
  • Phone: 808-591-9998
  • Fax: 808-591-9993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY 1334
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY 1334
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 1334
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 1334
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY 1334
License Number StateHI
# 6
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY 1334
License Number StateHI
# 7
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License NumberPSY 1334
License Number StateHI
# 8
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License NumberPSY 1334
License Number StateHI
# 9
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY 1334
License Number StateHI
# 10
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 1334
License Number StateHI

VIII. Authorized Official

Name: DR. CHRISTINA LU
Title or Position: OWNER
Credential: PSY.D.
Phone: 808-591-9998