Organization
DANA MOODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L MOODY MFT (OWNER)
(808) 430-6159
Entity
Organization
Contact information
Practice address
75-127 LUNAPULE RD, SUITE 1A, KAILUA KONA, HI 96740-2119
(808) 430-6159
Mailing address
PO BOX 7135, KAMUELA, HI 96743-7135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
308
HI
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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