# FORMOSA ROOTS COUNSELING

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

## Provider details

- **NPI number:** 1801731294
- **Authorized official:** ANN COLLINS MFT (OWNER)
- **Authorized official phone:** (808) 741-5668

## Contact information

- **Practice address:** 201 PIIMAUNA ST, MAKAWAO, HI 96768-8871
- **Practice address phone:** (601) 208-0935
- **Mailing address:** 201 PIIMAUNA ST, MAKAWAO, HI 96768-8871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2026
- **Last updated:** 04/21/2026