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General NPI Number Information
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NPI Number | 1326691668
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Entity Type | Individual
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Provider Name | ROY ANGELO MANOSCA LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 99-080 KAUHALE ST STE C20
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City | AIEA
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State | HI
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Zip | 96701-4114
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Country | US
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Telephone | 808-953-4682
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Fax |
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Provider Business Mailing Address
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Address Line | 84-664 ALA MAHIKU ST APT 193C
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City | WAIANAE
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State | HI
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Zip | 96792-1603
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Country | US
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Telephone | 808-722-4158
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-1167
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License Number State | HI
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