NPI 1306201629
Heavenly Star LLC
Practice location
- Address
- 99-124 Kohomua St 15c, Aiea, HI 96701-3876
- Phone
- (808) 781-7984
Authorised official
- Name
- Rena Mae Nalani Takushi
- Title
- Licensed Clinical Social Worker
- Phone
- (808) 781-7984
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1306201629
- Entity type
- Organization
- NPI issued
- 31 Dec 2015
- Record last updated
- 31 Dec 2015
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.