Organization
OHANA UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINTISHA CLANTON (CREDENTIALING MANAGER)
(877) 733-2733
Entity
Organization
Contact information
Practice address
1055 CAMPBELLSVILLE ST, LIBERTY, KY 42539-3365
(606) 706-5303
Mailing address
PO BOX 461, LIBERTY, KY 42539-0461
(606) 706-5303
(877) 313-1501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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