Provider Demographics
NPI:1902522410
Name:NO KA HEKE LLC
Entity type:Organization
Organization Name:NO KA HEKE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ADOLPHO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-646-1015
Mailing Address - Street 1:720 W ONEIL DR APT 171
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-1174
Mailing Address - Country:US
Mailing Address - Phone:808-658-1417
Mailing Address - Fax:866-461-6786
Practice Address - Street 1:720 W ONEIL DR APT 171
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1174
Practice Address - Country:US
Practice Address - Phone:808-658-1417
Practice Address - Fax:866-461-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty