Maakestad Sullivan, Laura Corinne

Maakestad Sullivan, Laura Corinne is an sole proprietor health care provider with primary practice located at 84-680 Kili Dr Suite #803, Waianae HI 96792-1524. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Maakestad Sullivan, Laura Corinne can be contacted via phone (808) 888-9237.

Contact Information

Primary practice address
84-680 Kili Dr Suite #803 Waianae HI 96792-1524
Phone: (808) 888-9237
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 36 Hawaii
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00006237 Washington

Profile Details

NPI number 1649354853
LBN Legal business name Maakestad Sullivan, Laura Corinne
Credentials M. A., L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649354853 NPPES
Hawaii Other 105HI03587 HMSA

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