KIMYATTA GREATHOUSE FAILS LPCNCCCAC NPI 1134396278

NPI Information

NPI: 1134396278
Provider Name: KIMYATTA GREATHOUSE FAILS, LPC,NCC,CAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
95-1017 KELAKELA ST
MILILANI, HI
ZIP 96789
Phone: (706) 442-5372
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Kimyatta Greathouse Fails, LPC,NCC,CAC is a professional counselor in Mililani, HI. Kimyatta Greathouse Fails, LPC,NCC,CAC NPI is 1134396278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95-1017 KELAKELA ST
MILILANI, HI
ZIP 96789-991
Phone: (706) 442-5372

The NPI 1134396278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 2/25/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6140	COLORADO	No
2	101YP2500X	Counselor	Professional	3689	COLORADO	Yes
3	101YP2500X	Counselor	Professional	3375	ALABAMA	No

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: 5/5/2024

NPI Synchronization or Removal

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