MEDICARE: HOLLY MARIE ARROYO LCSW

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	1041C0700X	Clinical Social Worker	LCSW-5294	HI

General Provider Information

NPI Number	:	1952112880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY MARIE ARROYO LCSW

Provider Business Mailing Address
First Line	:	1220 KAAUWAI PL UNIT B
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-2740
Country	:	US
Telephone Number	:	808-354-8474
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1001 KAIMALIE ST STE 201B
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6250
Country	:	US
Telephone Number	:	808-762-0026
Fax Number	:	808-427-9397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/21/2025

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