Organization
KOOLAU COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC G ORR SR. PHD (LICENSE PSYCHOLOGIST / MEMBER)
(808) 780-6925
Entity
Organization
Contact information
Practice address
55-510 KAMEHAMEHA HWY STE 14, LAIE, HI 96762-1197
(808) 293-5555
(408) 457-0998
Mailing address
55-060 NAUPAKA ST, LAIE, HI 96762-1127
(808) 780-6925
(408) 757-0998
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1048
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417107939
INDIVIDUAL NPI
HI
Enumeration date
08/29/2016
Last updated
01/24/2017
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