| Bodhi Wellness And Psychotherapy Llc | |
|
1043 Makawao Ave Ste 209b Makawao HI 96768 | |
| (808) 379-3766 | |
| (808) 379-3766 |
| Full Name | Bodhi Wellness And Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1043 Makawao Ave Ste 209b, Makawao, Hawaii |
| Authorized Official Name and Position | David J Dolan (OWNER) |
| Authorized Official Contact | 8083793766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodhi Wellness And Psychotherapy Llc 1043 Makawao Ave Ste 209b Makawao HI 96768-9468 Ph: (808) 379-3766 | Bodhi Wellness And Psychotherapy Llc 1043 Makawao Ave Ste 209b Makawao HI 96768 Ph: (808) 379-3766 |
| NPI Number | 1760990014 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760990014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1959-17R (Hawaii) | Secondary |
| 101YM0800X | Counselor - Mental Health | MHC-494 (Hawaii) | Primary |
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