Healthcare Provider Details

I. General information

NPI: 1285246017
Provider Name (Legal Business Name): NATASHA ARIYOSHI, LCSW, CSAC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 HOBRON LN STE 311
HONOLULU HI
96815-1229
US

IV. Provider business mailing address

1192 KUPAU ST
KAILUA HI
96734-3642
US

V. Phone/Fax

Practice location:
  • Phone: 808-729-1815
  • Fax: 808-439-6867
Mailing address:
  • Phone: 808-729-1815
  • Fax: 808-439-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MS. NATASHA ARIYOSHI
Title or Position: MANAGER
Credential: LCSW
Phone: 808-729-1815