Basic Information
| Provider Information | |||||||||
| NPI: | 1811591654 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AULIKE HEALTH PARTNERS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 AULIKE ST STE 500 | ||||||||
| Address2: | |||||||||
| City: | KAILUA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967342752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082638822 | ||||||||
| FaxNumber: | 8082616749 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 AULIKE ST STE 500 | ||||||||
| Address2: | |||||||||
| City: | KAILUA | ||||||||
| State: | HI | ||||||||
| PostalCode: | 967342752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8082638822 | ||||||||
| FaxNumber: | 8082616749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/23/2020 | ||||||||
| LastUpdateDate: | 11/23/2020 | ||||||||
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| AuthorizedOfficialLastName: | REIS | ||||||||
| AuthorizedOfficialFirstName: | BRIJIT | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8082628822 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 11/23/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | 364SP0808X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
No ID Information.