NPI 1093252124

Johanna Park

Organisation Community/Behavioral Health Agency Hilo, HI

Practice location

Address: 120 Keawe St STE 203b Suite 202, Hilo, HI 96720-2874
Phone: (808) 315-1432
Mailing address: 16-566 Keaau Pahoa Rd STE 188-367, Keaau, HI 96749-8137

Authorised official

Name: Johanna Lynn Park
Title: Owner
Phone: (808) 315-1432

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence LMHC 427 (HI)

Other Community/Behavioral Health providers in Hawaii →

Registry record

NPI: 1093252124
Entity type: Organization
NPI issued: 27 Jan 2017
Record last updated: 17 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.