# ANITA LAVIOLA, LCSW,CSAC LLC

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

## Provider details

- **NPI number:** 1871162677
- **Authorized official:** ANITA LOUISE LAVIOLA LCSW, CSAC (OWNER)
- **Authorized official phone:** (808) 281-2340

## Contact information

- **Practice address:** 2200 MAIN ST STE 528, WAILUKU, HI 96793-1640
- **Practice address phone:** (808) 281-2340
- **Mailing address:** PO BOX 1052, KULA, HI 96790-1052
- **Mailing address phone:** (808) 264-4457

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 06/24/2021