Healthcare Provider Details

I. General information

NPI: 1154160950
Provider Name (Legal Business Name): OHANA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 MARYLAND WAY OFC 128
BRENTWOOD TN
37027-1200
US

IV. Provider business mailing address

5032 LUKER LN
ANTIOCH TN
37013-4004
US

V. Phone/Fax

Practice location:
  • Phone: 615-424-2371
  • Fax:
Mailing address:
  • Phone: 615-424-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MERNA A ELSOLS
Title or Position: OWNER & THERAPIST
Credential: LMFT
Phone: 615-424-2371