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KU ALOHA OLA MAU NPI 1376553107


NPI Information

NPI: 1376553107
Provider Name: KU ALOHA OLA MAU

Former Legal Business Name: DRUG ADDICTION SERVICES OF HAWAII INC

Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 12D0901751

Address:
1130 N NIMITZ HWY
C302
HONOLULU, HI
ZIP 96817
Phone: (808) 538-0704
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KU ALOHA OLA MAU is a counselor in Honolulu, HI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. KU ALOHA OLA MAU NPI is 1376553107. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Drug Addiction Services Of Hawaii Inc.

The provider's business location address is:

1130 N NIMITZ HWY
C302
HONOLULU, HI
ZIP 96817
Phone: (808) 538-0704
Fax: (808) 538-0474

The provider's authorized official is Lisa Cook .
The authorized official title is Executive Director and has the following contact phone number (808) 538-0704.

The CLIA number assigned to this NPI record is 12D0901751 - other - outpt substance abuse with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 8/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1509218-01MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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