Organization
TALK IT OUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM GOLDBERG LCSW, CAMS-II (OWNER)
(808) 651-6278
Entity
Organization
Contact information
Practice address
3422 UPPER STREET, HONOLULU, HI 96815-4337
(808) 651-6278
(808) 356-0634
Mailing address
3422 UPPER STREET, HONOLULU, HI 96815-4337
(808) 651-6278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4035
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818388
—
HI
Enumeration date
08/21/2017
Last updated
08/18/2020
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