# KUALOLI COUNSELING & PSYCHOTHERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shanti Kay Manzano, LCSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376202218
- **Authorized official:** SHANTI KAY MANZANO LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (808) 639-7255

## Contact information

- **Practice address:** 5476 KOLOA ROAD, 2F, KOLOA, HI 96756-9675
- **Practice address phone:** (808) 639-7255
- **Mailing address:** PO BOX 1075, KOLOA, HI 96756-1075
- **Mailing address phone:** (808) 639-7255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021