MR. RAYMOND BLACK III


Address: 985 Dillingham Blvd Ste 100, Honolulu, HI 96817-5772
Phone: 8088342823

MR. RAYMOND BLACK III (NPI# 1548810898) 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) 1548810898
Entity Type Individual
Full Name MR. RAYMOND BLACK III
Credential MA, BS, LMHC, CSAC
Practice Address 985 Dillingham Blvd Ste 100
Honolulu
HI 96817-5772
Practice Telephone 8088342823
Mailing Telephone 8083923605
Enumeration Date 2019-09-18
Last Update Date 2019-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor HI Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1564-10 HI Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
MHC-636 HI Behavioral Health & Social Service Providers
Y 101YP1600X Counselor
Specialization: Pastoral
2009-835 HI Behavioral Health & Social Service Providers

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Office Location

Street Address 985 DILLINGHAM BLVD STE 100
City HONOLULU
State HI
Zip Code 96817-5772

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NPI Name Taxonomy Address Enumeration
1942810676 Tracey Lorraine Ramelb Mayola Nurse's Aide 36 Bates St., Unit A1, Honolulu, HI 96817 2020-08-06
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821036252 Darcy Siu Fah Ing Counselor 1020 S Beretania St, Honolulu, HI 96814-1428 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639537483 Sherrie Campbell Counselor 91-1085 Kai Oio St, Ewa Beach, HI 96706-6279 2016-02-08
1043510191 Diane K Guidici Counselor 341 Nana Pl # 1, Kapaa, HI 96746-1369 2010-10-22

Competitor

Search similar providers

City HONOLULU
Zip Code 96817

Improve Information

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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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