JUDITH MARIE EKSTROM LMHC
NPI 1629416581
Counselor - Mental Health in Pahoa, HI
Active since June 12, 2013
About Judith Marie Ekstrom Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDITH MARIE EKSTROM LMHC (NPI 1629416581) is an individual mental health provider in Pahoa, Hawaii, licensed in Hawaii (299) and active in the NPI registry since June 2013.
NPPES Registry Identity
NPI1629416581
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUDITH MARIE EKSTROMCredential: LMHC
Location Address15-3039 PAHOA VILLAGE RDPahoa, HI 96778-9998
Mailing AddressHc 2 Box 6410Keaau, HI 96749-9305 · (808) 987-4321
Phone(808) 987-4321
Sole ProprietorYes
Enumeration DateJune 12, 2013
✔ NPI 1629416581 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in HI · 299
15-3039 PAHOA VILLAGE RD, Pahoa, HI 96778
Other Names 1
Former Name (1)Judith Marie Spain Lmhc
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Non-Pharmacy Dispensing Site
15-3039 PAHOA VILLAGE RD
PAHOA, HI 96778
PAHOA, HI 96778
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629416581, enumerated as an "individual" on June 12, 2013.
The provider is located at 15-3039 PAHOA VILLAGE RD PAHOA, HI 96778 and the phone number is (808) 987-4321.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
