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General NPI Number Information
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NPI Number | 1114863925
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Entity Type | Organization
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Legal Business Name | KATHLEEN GORMAN, LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 15-2805 MAIKO ST
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City | PAHOA
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State | HI
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Zip | 96778-9136
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Country | US
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Telephone | 808-657-5663
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Fax | 855-933-1176
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Provider Business Mailing Address
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Address Line | 15-2805 MAIKO ST
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City | PAHOA
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State | HI
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Zip | 96778-9136
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Country | US
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Telephone | 808-657-5663
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Fax | 855-933-1176
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | KATHLEEN GORMAN
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Credential | LCSW
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Telephone | 808-657-5663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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