Whalio Doctors

NPI 1306201629

Heavenly Star LLC

Organisation Clinical Social Worker Aiea, HI

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4054 (HI)

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.