| Island Mind Therapy Llc | |
|
1955 Main St Ste 200 Wailuku HI 96793-1741 | |
| (808) 987-6404 | |
| Not Available |
| Full Name | Island Mind Therapy Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1955 Main St Ste 200, Wailuku, Hawaii |
| Authorized Official Name and Position | Channing Slate (LLC MANAGER / MEDICAL DIRECTOR) |
| Authorized Official Contact | 8082293434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Mind Therapy Llc 1955 Main St Ste 200 Wailuku HI 96793-1741 Ph: (808) 229-3200 | Island Mind Therapy Llc 1955 Main St Ste 200 Wailuku HI 96793-1741 Ph: (808) 987-6404 |
| NPI Number | 1285462234 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285462234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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