DIANE LOGAN LLC NPI 1265068233

NPI Information

NPI: 1265068233
Provider Name: DIANE LOGAN LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
75-127 LUNAPULE RD STE 15B
KAILUA KONA, HI
ZIP 96740
Phone: (808) 437-7447
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DIANE LOGAN LLC is a mental health (including community mental health center) clinic center in Kailua Kona, HI. DIANE LOGAN LLC NPI is 1265068233. The provider is registered as an organization entity type.

The provider's business location address is:

75-127 LUNAPULE RD STE 15B
KAILUA KONA, HI
ZIP 96740-119
Phone: (808) 437-7447
Fax: (808) 374-9046

The provider's authorized official is Diane E Logan .
The authorized official title is Owner and has the following contact phone number (808) 437-7447.

The enumeration date for this NPI number is 3/20/2020 and was last updated on 10/6/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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

NPI Synchronization or Removal

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