Healthcare Provider Details

I. General information

NPI: 1770632101
Provider Name (Legal Business Name): MERI BROOKE MALONEY LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERI BROOKE JISQWA GITHEGI PLPC, LPC

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-509 HOKUALA ST
MILILANI HI
96789-2313
US

IV. Provider business mailing address

94-509 HOKUALA ST
MILILANI HI
96789-2313
US

V. Phone/Fax

Practice location:
  • Phone: 808-979-1783
  • Fax:
Mailing address:
  • Phone: 808-979-1783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: