| Island Paradise Counseling, Llc | |
|
162 Kinoole St Ste 101 Hilo HI 96720-2861 | |
| (808) 935-0070 | |
| (808) 935-0070 |
| Full Name | Island Paradise Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 162 Kinoole St Ste 101, Hilo, Hawaii |
| Authorized Official Name and Position | Roxy Antoinette Mico (MEMBER) |
| Authorized Official Contact | 8089350070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Paradise Counseling, Llc Po Box 10068 Hilo HI 96721 Ph: (808) 935-0070 | Island Paradise Counseling, Llc 162 Kinoole St Ste 101 Hilo HI 96720-2861 Ph: (808) 935-0070 |
| NPI Number | 1275942591 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275942591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Hawaii) | Primary |
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