| Sacred Life Wellness Llc | |
|
53-4411 Akoni Pule Hwy Kapaau HI 96755 | |
| (808) 209-2263 | |
| (833) 402-1821 |
| Full Name | Sacred Life Wellness Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 53-4411 Akoni Pule Hwy, Kapaau, Hawaii |
| Authorized Official Name and Position | Eduardo Jones (CO-OWNER) |
| Authorized Official Contact | 8082092263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Life Wellness Llc Po Box 1023 Kapaau HI 96755-1023 Ph: (808) 209-2263 | Sacred Life Wellness Llc 53-4411 Akoni Pule Hwy Kapaau HI 96755 Ph: (808) 209-2263 |
| NPI Number | 1184379091 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 07/01/2024 |
| Certification Date | 06/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184379091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Jea Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 543885 Akoni Pule Hwy, 211-d, Kapaau, HI 96755 Phone: 808-889-6200 |