Healthcare Provider Details

I. General information

NPI: 1922750413
Provider Name (Legal Business Name): KIHEI COUNSELING, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2022
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 S KIHEI RD STE 205
KIHEI HI
96753-8145
US

IV. Provider business mailing address

1325 S KIHEI RD STE 205
KIHEI HI
96753-8145
US

V. Phone/Fax

Practice location:
  • Phone: 808-463-6052
  • Fax:
Mailing address:
  • Phone: 808-463-6052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN HERR
Title or Position: COUNSELOR
Credential: M.ED.
Phone: 808-463-6052