Healthcare Provider Details

I. General information

NPI: 1447000591
Provider Name (Legal Business Name): KALENA SOLTREN SERRAON LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2-2514 KAUMUALII HWY STE 205
KALAHEO HI
96741-8304
US

IV. Provider business mailing address

2224 PELELEU PL
KALAHEO HI
96741-9782
US

V. Phone/Fax

Practice location:
  • Phone: 808-651-5510
  • Fax: 844-898-6130
Mailing address:
  • Phone: 808-634-8658
  • Fax: 844-898-6130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KALENA SERRAON
Title or Position: LCSW
Credential: LCSW
Phone: 808-634-8658