1770632101 NPI number — MERI BROOKE MALONEY LPC, LMHC

Table of content: MERI BROOKE MALONEY LPC, LMHC (NPI 1770632101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770632101 NPI number — MERI BROOKE MALONEY LPC, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALONEY
Provider First Name:
MERI
Provider Middle Name:
BROOKE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GITHEGI
Provider Other First Name:
MERI BROOKE
Provider Other Middle Name:
JISQWA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PLPC, LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770632101
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94-509 HOKUALA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILILANI
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96789-2313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-979-1783
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
94-509 HOKUALA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILILANI
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96789-2313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-979-1783
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)