The Resilient Life Organzation
Counselor, Mental Health in Pearl City, HI. Organization (NPI-2).
NPI number1295580967
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1295580967
- Entity type
- Organization (NPI-2)
- Legal business name
- The Resilient Life Organzation
- Organization subpart
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1962 Waimano Home RdPearl City, HI 96782-1468
Phone 808-392-3330 · Fax 808-210-6095
Mailing address
Po Box 962Pearl City, HI 96782-0962
Phone 808-392-3330 · Fax 808-210-6095
Authorized official
Alicia Fu
Owner
8083923330
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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