| Healthy Mind Llc | |
|
94-210 Pupukahi St Ste 207 Waipahu HI 96797-2649 | |
| (808) 382-6816 | |
| Not Available |
| Full Name | Healthy Mind Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 94-210 Pupukahi St Ste 207, Waipahu, Hawaii |
| Authorized Official Name and Position | Agnes Felix (MEMBER) |
| Authorized Official Contact | 8083826816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind Llc Po Box 2224 Ewa Beach HI 96706-0224 Ph: (808) 382-6816 | Healthy Mind Llc 94-210 Pupukahi St Ste 207 Waipahu HI 96797-2649 Ph: (808) 382-6816 |
| NPI Number | 1407579303 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Certification Date | 09/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407579303 | NPI | - | NPPES |
| XXXXXXXXXXXXXXXXXXXX | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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