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NPI 1285365544

NPI 1285365544 : ESSENCE COUNSELING LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1285365544
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    Entity Type          |    Organization 
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    Legal Business Name  |    ESSENCE COUNSELING LLC 
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Dates
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    Enumeration Date     |    06/18/2022
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    Last Update Date     |    07/14/2023
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Provider Practice Location Address
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    Address Line         |    1130 KOKO HEAD AVE STE 2 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96816-3771
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    Country              |    US
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    Telephone            |    808-520-6973
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4710 AUKAI AVE 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96816-5207
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    Country              |    US
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    Telephone            |    808-382-2207
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ELIZABETH  GROTE 
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    Credential           |    LMFT
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    Telephone            |    808-382-2207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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