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
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