TATIANA TIBISAI MACIAS


Address: 1505 Dillingham Blvd, Honolulu, HI 96817-4885
Phone: 8088422245

TATIANA TIBISAI MACIAS (NPI# 1063075091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063075091
Entity Type Individual
Full Name TATIANA TIBISAI MACIAS
Credential LMHC
Practice Address 1505 Dillingham Blvd
Honolulu
HI 96817-4885
Practice Telephone 8088422245
Enumeration Date 2019-04-16
Last Update Date 2019-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
573 HI Behavioral Health & Social Service Providers

Office Location

Street Address 1505 DILLINGHAM BLVD
City HONOLULU
State HI
Zip Code 96817-4885

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City HONOLULU
Zip Code 96817

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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