Life Master Llc

LBN: Life Master Llc
Life Master Llc is an health care organization with primary practice located at 2957 Kalakaua Ave Suite 601, Honolulu HI 96815-4650. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Life Master Llc can be contacted via phone (808) 737-6277, or through Gold, Mitzi via phone (808) 737-6277.

Contact Information

Primary practice address
2957 Kalakaua Ave Suite 601 Honolulu HI 96815-4650
Fax:
Website:
Authorized official contact:
Name: Gold, Mitzi PH.D, CLSW, MPH

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 663 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3105 Hawaii

Profile Details

NPI number 1083970545
LBN Legal business name Life Master Llc
DBA Doing business as
Authorized official Gold, Mitzi PH.D, CLSW, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2012
Last updated Apr 9th, 2012 - about 13 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 1083970545 NPPES
Hawaii MEDICAID 55077401

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