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General NPI Number Information
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NPI Number | 1376223057
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Entity Type | Organization
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Legal Business Name | MOLOKAI MENTAL HEALTH, LLC
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3 UALAPUE PL. 1A
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City | KAUNAKAKAI
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State | HI
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Zip | 96748
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Country | US
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Telephone | 808-213-5001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1330
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City | KAUNAKAKAI
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State | HI
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Zip | 96748-1330
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR / OWNER
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Name | MR. AARON MITCHELL
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Credential | MS, MHC
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Telephone | 808-213-5001
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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 |
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License Number State |
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