Organization
LFR KAUAI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY FERNANDEZ RICHARDSON MS (LMHC)
(808) 431-1101
Entity
Organization
Contact information
Practice address
2843 KANANI ST, LIHUE, HI 96766-1626
(808) 431-1101
Mailing address
PO BOX 303, LIHUE, HI 96766-0303
(808) 431-1101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810152
—
HI
Enumeration date
10/08/2021
Last updated
10/28/2021
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