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Organization
KOA MENTAL HEALTH LLC
Active
Organization
KOA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DANIEL GOMEZ LMHC (OWNER/OPERATER)
(808) 333-8094
Entity
Organization
Contact information
Practice address
1034 ULANA PL, HILO, HI 96720-3261
(808) 333-8094
Mailing address
4217 W WINTER EVENING PL, FAYETTEVILLE, AR 72704-7198
(808) 333-8094
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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