Individual
MS. MICHELLE VILLANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1152 MAKAWAO AVE, MAKAWAO, HI 96768-9448
(808) 870-9886
Mailing address
1135 MAKAWAO AVE PMB 340, MAKAWAO, HI 96768-7403
(808) 870-9886
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW3028
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000227835
HMSA
HI
01
—
00A0227833
HMSA
HI
Enumeration date
04/04/2007
Last updated
12/28/2009
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