1730724345 NPI number — MRS. MAISA LEILANI ZIEGLER LCSW

Table of content: MRS. MAISA LEILANI ZIEGLER LCSW (NPI 1730724345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730724345 NPI number — MRS. MAISA LEILANI ZIEGLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIEGLER
Provider First Name:
MAISA
Provider Middle Name:
LEILANI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730724345
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HO'OMAU THERAPY, LLC 41-038 WAILEA STREET C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAIMANALO
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44-403 KANEOHE BAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-2611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-429-4213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2019

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: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LCSW-4729 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 12157401 . This is a "AWSB" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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