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General NPI Number Information
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NPI Number | 1295541084
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Entity Type | Organization
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Legal Business Name | AKAHAI EMOTIONAL WELLNESS, LLC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 154 WAIANUENUE AVE UNIT 11201
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City | HILO
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State | HI
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Zip | 96721-2105
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Country | US
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Telephone | 808-720-3637
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Fax | 877-441-7008
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Provider Business Mailing Address
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Address Line | PO BOX 11201
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City | HILO
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State | HI
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Zip | 96721-6201
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Country | US
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Telephone | 808-720-3637
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Fax | 877-441-7008
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MR. KEVIN LEE FAUST
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Credential | LMHC
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Telephone | 808-720-3637
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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 #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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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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