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NPI 1063010932

NPI 1063010932 : DRUG, ALCOHOL, MENTAL HEALTH COUNSELING & EVALUATION SERVICES, INC : KAPOLEI, HI

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General NPI Number Information
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    NPI Number           |    1063010932
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRUG, ALCOHOL, MENTAL HEALTH COUNSELING & EVALUATION SERVICES, INC 
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Dates
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    Enumeration Date     |    10/13/2020
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    Last Update Date     |    09/02/2025
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Provider Practice Location Address
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    Address Line         |    92-1982 KULIHI ST FL 2 
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    City                 |    KAPOLEI
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    State                |    HI
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    Zip                  |    96707-3414
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    Country              |    US
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    Telephone            |    402-871-9348
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    92-1982 KULIHI ST FL 2 
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    City                 |    KAPOLEI
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    State                |    HI
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    Zip                  |    96707-3414
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    Country              |    US
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    Telephone            |    402-871-9348
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     PHYLLIS M ROONEY 
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    Credential           |    
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    Telephone            |    808-295-5319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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