Organization
ORCHID ISLE HAWAI'I, INC
Active
Other names
Orchid Isle Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY M SALLEE MA, MFT (OWNER)
(808) 333-8988
Entity
Organization
Contact information
Practice address
75-5995 KUAKINI HWY., STE 900, KAILUA-KONA, HI 96740
(808) 333-8988
(808) 464-4257
Mailing address
77-401 PU'UWAI ALI'I PLACE, KAILUA-KONA, HI 96740
(808) 333-8988
(808) 322-2448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFCC38611
CA
106H00000X
Marriage & Family Therapist
Primary
MFT154
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612524-01
—
CA
05
—
612524-01
—
HI
Enumeration date
11/02/2017
Last updated
11/02/2017
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