Provider Demographics
NPI:1841985629
Name:KAUAI HEALTH & HEALING PARTNERS LLC
Entity type:Organization
Organization Name:KAUAI HEALTH & HEALING PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANY
Authorized Official - Middle Name:ROSARIO
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, LCSW
Authorized Official - Phone:808-212-5966
Mailing Address - Street 1:4547 PANIHI ROAD
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1649
Mailing Address - Country:US
Mailing Address - Phone:808-212-5966
Mailing Address - Fax:877-681-5297
Practice Address - Street 1:4-1461 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746
Practice Address - Country:US
Practice Address - Phone:808-212-5966
Practice Address - Fax:877-681-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty