Provider Demographics
NPI:1770314007
Name:KAUAI MENTAL HEALTH ADVOCATES
Entity type:Organization
Organization Name:KAUAI MENTAL HEALTH ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCI
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-631-1154
Mailing Address - Street 1:4210 HANAHAO PL STE 202
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-9036
Mailing Address - Country:US
Mailing Address - Phone:808-631-1154
Mailing Address - Fax:
Practice Address - Street 1:4210 HANAHAO PL STE 202
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-9036
Practice Address - Country:US
Practice Address - Phone:808-631-1154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty