Provider Demographics
NPI:1124893086
Name:HEIDI PIMENTAL COUNSELING CENTER LLC.
Entity type:Organization
Organization Name:HEIDI PIMENTAL COUNSELING CENTER LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIMENTAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-688-8668
Mailing Address - Street 1:45-503 LIKELIKE HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2946
Mailing Address - Country:US
Mailing Address - Phone:808-688-8668
Mailing Address - Fax:808-490-0944
Practice Address - Street 1:45-503 LIKELIKE HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2946
Practice Address - Country:US
Practice Address - Phone:808-688-8668
Practice Address - Fax:808-490-0944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty