Provider Demographics
NPI:1447000591
Name:KALENA SOLTREN SERRAON LCSW LLC
Entity type:Organization
Organization Name:KALENA SOLTREN SERRAON LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:KALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRAON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-634-8658
Mailing Address - Street 1:2224 PELELEU PL
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9782
Mailing Address - Country:US
Mailing Address - Phone:808-634-8658
Mailing Address - Fax:844-898-6130
Practice Address - Street 1:2-2514 KAUMUALII HWY STE 205
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741-8304
Practice Address - Country:US
Practice Address - Phone:808-651-5510
Practice Address - Fax:844-898-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty