Good Grief Clinic Llc

LBN: Good Grief Clinic Llc
Good Grief Clinic Llc is an health care organization with primary practice located at 752 Lower Main St , Wailuku HI 96793-1480. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Good Grief Clinic Llc can be contacted via phone (808) 364-9391, or through Kanemura, Mari M via phone (808) 364-9391.

Contact Information

Primary practice address
752 Lower Main St Wailuku HI 96793-1480
Phone: (808) 364-9391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kanemura, Mari M Licensed Clinical Social Worker (LCSW)
Phone: (808) 364-9391

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1508534132
LBN Legal business name Good Grief Clinic Llc
DBA Doing business as
Authorized official Kanemura, Mari M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2021
Last updated Aug 30th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508534132 NPPES
Hawaii MEDICAID 793085

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