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General NPI Number Information
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NPI Number | 1083225379
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Entity Type | Organization
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Legal Business Name | DCS BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 95-1009 WEKIU ST
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City | MILILANI
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State | HI
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Zip | 96789-3014
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Country | US
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Telephone | 808-426-0328
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Fax |
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Provider Business Mailing Address
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Address Line | 95-1030 MEHEULA PKWY #893131
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City | MILILANI
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State | HI
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Zip | 96789-4970
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Country | US
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Telephone | 808-797-7649
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARLA JANEEN CARINO BOX
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Credential | LMHC, LBA, BCBA,CSAC
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Telephone | 808-426-0328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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