Provider Demographics
NPI:1760231377
Name:JOURNEY-COUNSELING, COACHING & CONSULTING
Entity type:Organization
Organization Name:JOURNEY-COUNSELING, COACHING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBARD- DODD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-936-0801
Mailing Address - Street 1:214 KAKAHIAKA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3460
Mailing Address - Country:US
Mailing Address - Phone:808-936-0801
Mailing Address - Fax:
Practice Address - Street 1:214 KAKAHIAKA ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3460
Practice Address - Country:US
Practice Address - Phone:808-936-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty