Organization
GINO CLINIC, LLC
Active
Other names
Gino Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO GINO PHD (OWNER)
(808) 383-9834
Entity
Organization
Contact information
Practice address
1188 BISHOP ST STE 2905, HONOLULU, HI 96813-3312
(808) 375-9867
(808) 450-2983
Mailing address
PO BOX 25972, HONOLULU, HI 96825-0972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800250
—
HI
Enumeration date
06/12/2024
Last updated
06/12/2024
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