Healthcare Provider Details

I. General information

NPI: 1083225379
Provider Name (Legal Business Name): DCS BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95-1009 WEKIU ST
MILILANI HI
96789-3014
US

IV. Provider business mailing address

95-1030 MEHEULA PKWY #893131
MILILANI HI
96789-4970
US

V. Phone/Fax

Practice location:
  • Phone: 808-426-0328
  • Fax:
Mailing address:
  • Phone: 808-797-7649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DARLA JANEEN CARINO BOX
Title or Position: OWNER
Credential: LMHC, LBA, BCBA,CSAC
Phone: 808-426-0328