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General NPI Number Information
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NPI Number | 1922816172
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Entity Type | Organization
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Legal Business Name | HAWAII BEHAVIORAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 65 WALKER AVE
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City | WAHIAWA
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State | HI
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Zip | 96786-1814
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Country | US
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Telephone | 808-452-4782
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Fax | 808-490-0370
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Provider Business Mailing Address
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Address Line | 70 S KAMEHAMEHA HWY
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City | WAHIAWA
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State | HI
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Zip | 96786-1856
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Country | US
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Telephone | 808-452-4782
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | BRIAN WHITE
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Credential | MSCP
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Telephone | 808-621-8341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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