Organization
JOHANNA PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA LYNN PARK LMHC (OWNER)
(808) 315-1432
Entity
Organization
Contact information
Practice address
120 KEAWE ST STE 203B, SUITE 202, HILO, HI 96720-2874
(808) 315-1432
Mailing address
16-566 KEAAU PAHOA RD STE 188-367, KEAAU, HI 96749-8137
(808) 315-1432
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMHC 427
HI
Other
Enumeration date
01/27/2017
Last updated
12/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up