Provider Demographics
NPI:1154160950
Name:OHANA COUNSELING, LLC
Entity type:Organization
Organization Name:OHANA COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MERNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELSOLS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:615-424-2371
Mailing Address - Street 1:5032 LUKER LN
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4004
Mailing Address - Country:US
Mailing Address - Phone:615-424-2371
Mailing Address - Fax:
Practice Address - Street 1:5115 MARYLAND WAY OFC 128
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1200
Practice Address - Country:US
Practice Address - Phone:615-424-2371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1215798236Medicaid