Healthcare Provider Details

I. General information

NPI: 1225949738
Provider Name (Legal Business Name): BROOKE GALENDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

IV. Provider business mailing address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

V. Phone/Fax

Practice location:
  • Phone: 808-683-5505
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-5472
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: