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General NPI Number Information
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NPI Number | 1295243152
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Entity Type | Organization
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Legal Business Name | AHUPUAA COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 220 IMI KALA ST STE 203A
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City | WAILUKU
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State | HI
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Zip | 96793-1209
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Country | US
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Telephone | 808-283-8640
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Fax | 808-283-8640
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Provider Business Mailing Address
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Address Line | PO BOX 852
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City | MAKAWAO
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State | HI
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Zip | 96768-0852
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Country | US
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Telephone | 808-283-8640
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Fax | 808-633-8425
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | TINA ANN BOTEILHO
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Credential | LMFT
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Telephone | 808-283-8640
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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 | 388
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License Number State | HI
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