# JAMIE AYAKA MOODY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538715693
- **Authorized official:** JAMIE A MOODY LMCH (PROVIDER)
- **Authorized official phone:** (808) 349-9500

## Contact information

- **Practice address:** 401 KAMAKEE ST STE 406, HONOLULU, HI 96814-4261
- **Practice address phone:** (808) 349-9500
- **Mailing address:** 401 KAMAKEE ST STE 406, HONOLULU, HI 96814-4261
- **Mailing address phone:** (808) 349-9500

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2019
- **Last updated:** 08/14/2019