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General NPI Number Information
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NPI Number | 1902436892
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Entity Type | Organization
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Legal Business Name | POSITIVE CHANGES COUNSELING LLC
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 01/20/2020
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Provider Practice Location Address
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Address Line | 2290 KOMO MAI DR
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City | PEARL CITY
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State | HI
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Zip | 96782-1224
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Country | US
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Telephone | 808-341-1469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1786
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City | PEARL CITY
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State | HI
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Zip | 96782-8786
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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/THERAPIST
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Name | MS. AUDREY CHIYA
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Credential | LMHC
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Telephone | 808-341-1469
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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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