Pacific Counseling Group, LLC
Community/Behavioral Health in Kihei, HI. Organization (NPI-2).
NPI number1376311415
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1376311415
- Entity type
- Organization (NPI-2)
- Legal business name
- Pacific Counseling Group, LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
1325 S Kihei Rd Ste 200Kihei, HI 96753-8145
Phone 808-866-8753
Mailing address
Po Box 1492Makawao, HI 96768-1492
Phone 808-281-6284
Other practice locations
1787 Wili PA Loop Ste 7
Wailuku, HI 96793-1271
Wailuku, HI 96793-1271
Phone 808-281-6284
Authorized official
David J Wittenberg
Member - Manager
8082816284
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