Healthcare Provider Details

I. General information

NPI: 1760736466
Provider Name (Legal Business Name): HOOLILO COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2012
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-1221 KA UKA BLVD SUTE B206
WAIPAHU HI
96797-6202
US

IV. Provider business mailing address

PO BOX 37862
HONOLULU HI
96837-0862
US

V. Phone/Fax

Practice location:
  • Phone: 808-664-1104
  • Fax: 866-592-3149
Mailing address:
  • Phone: 808-664-1104
  • Fax: 866-592-3149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW3554
License Number StateHI

VIII. Authorized Official

Name: PAMELA SILVA
Title or Position: OWNER
Credential: LCSW
Phone: 808-664-1104