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General NPI Number Information
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NPI Number | 1861214843
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES OF HAWAII LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 11-3246 PLUMERIA ST.
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City | MOUNTAIN VIEW
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State | HI
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Zip | 96771
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Country | US
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Telephone | 808-865-5050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10870
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City | HILO
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State | HI
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Zip | 96721-5870
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Country | US
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Telephone | 808-865-5050
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ERIN ROSE
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Credential | LCSW
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Telephone | 808-865-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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