Provider Demographics
NPI:1861562803
Name:SOLUTIONS FOR CHANGE LLC
Entity type:Organization
Organization Name:SOLUTIONS FOR CHANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRAUENS
Authorized Official - Suffix:
Authorized Official - Credentials:CSW
Authorized Official - Phone:808-779-2326
Mailing Address - Street 1:1379B MOANALUALANI PL.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819
Mailing Address - Country:US
Mailing Address - Phone:808-779-2326
Mailing Address - Fax:808-836-3082
Practice Address - Street 1:1379B MOANALUALANI PL.
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819
Practice Address - Country:US
Practice Address - Phone:808-779-2326
Practice Address - Fax:808-779-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-31691041C0700X
HILCSW-30181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI499328Medicaid
HI0000253203OtherHMSA
HI0000253203OtherHMSA
HI=========OtherTRICARE WEST
HI499328Medicaid
HI=========OtherALOHACARE