Healthcare Provider Details

I. General information

NPI: 1508112871
Provider Name (Legal Business Name): KALENA SOLTREN SERRAON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 02/25/2024
Certification Date: 02/25/2024
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: 808-855-0760
  • Fax: 844-898-6130
Mailing address:
  • Phone: 808-634-8658
  • Fax: 808-681-1486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW - 4013
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: