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Organization

HEALTH READINESS RESOURCES BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL SMITH LCSW (PRESIDENT OF PROGRAM MANAGEMENT)
(877) 387-1018
Entity
Organization

Contact information

Practice address
758 KAPAHULU AVE # 100-1213, HONOLULU, HI 96816-1196
(877) 387-1018
Mailing address
1342 W TAYLOR ST UNIT 302, CHICAGO, IL 60607-4705
(833) 387-1018

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TH0004X
Health Psychologist
103TP2701X
Group Psychotherapy Psychologist
106H00000X
Marriage & Family Therapist
171000000X
Military Health Care Provider
171400000X
Health & Wellness Coach
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363A00000X
Physician Assistant
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/05/2024
Last updated
11/05/2024
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