Tatiana Abasolo, LMHC

Individual provider Active NPI Mental Health Counselor · Ewa Beach, HI

NPI 1154950293 · NPPES record last updated Apr 1, 2020

Key facts

NPI
1154950293
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MHC-627 (HI)
Practice address
91-281 Makalauna PL
Ewa Beach, HI 96706-5905
Phone
(808) 561-8769
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MHC-627HIMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-627 HI Yes

Addresses

Primary practice location

91-281 Makalauna PL
Ewa Beach, HI 96706-5905

Mailing address

91-281 Makalauna PL
Ewa Beach, HI 96706-5905

Other providers in Ewa Beach, HI

All providers in Ewa Beach, HI · Mental Health Counselor in Hawaii

Sources for this page

Verify at the official NPI Registry.