Provider Demographics
NPI:1962539080
Name:KOKUA COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:KOKUA COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-934-0940
Mailing Address - Street 1:PO BOX 10387
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-5387
Mailing Address - Country:US
Mailing Address - Phone:808-935-0222
Mailing Address - Fax:808-935-0222
Practice Address - Street 1:243 ULULANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2628
Practice Address - Country:US
Practice Address - Phone:808-935-0222
Practice Address - Fax:808-935-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable