Provider Demographics
NPI:1184086399
Name:HOPE AND HEALING LLC
Entity type:Organization
Organization Name:HOPE AND HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAKA'ALA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CSAC
Authorized Official - Phone:808-206-0928
Mailing Address - Street 1:PO BOX 4394
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-8394
Mailing Address - Country:US
Mailing Address - Phone:808-206-0928
Mailing Address - Fax:
Practice Address - Street 1:330 ULUNIU ST
Practice Address - Street 2:SUITE D
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2515
Practice Address - Country:US
Practice Address - Phone:808-206-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-26
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI000329938Medicaid