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General NPI Number Information
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NPI Number | 1821789744
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Entity Type | Organization
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Legal Business Name | TRACI I BROWNE, L.C.S.W.
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 569 ULUMANU DR
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City | KAILUA
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State | HI
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Zip | 96734-4331
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Country | US
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Telephone | 808-306-1056
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Fax |
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Provider Business Mailing Address
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Address Line | 569 ULUMANU DR
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City | KAILUA
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State | HI
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Zip | 96734-4331
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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 | OWNER
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Name | TRACI BROWNE
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Credential |
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Telephone | 808-306-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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