MEDICARE: RENEWED PEACE AND HOPE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1184313108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED PEACE AND HOPE

Provider Business Mailing Address
First Line	:	1549 MOLEHU DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-1921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 MOLEHU DR
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96818-1921
Country	:	US
Telephone Number	:	808-782-0376
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MHC
Name	:	DR. MEGUMI MARUYA MAKEPEACE
Credential	:	PSYD.,LMHC
Telephone Number	:	808-782-0376

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	05/04/2023

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Directions to “RENEWED PEACE AND HOPE ” Practice Location

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