| Temple Valley Mindful Wellness Llc | |
|
1005 Keolu Dr Kailua HI 96734-3873 | |
| (808) 780-7603 | |
| (888) 974-1502 |
| Full Name | Temple Valley Mindful Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1005 Keolu Dr, Kailua, Hawaii |
| Authorized Official Name and Position | Rachel Esther Whipple (LCSW/THERAPIST) |
| Authorized Official Contact | 8087807603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Valley Mindful Wellness Llc 47-610 Hui Ulili St Apt A Kaneohe HI 96744-4642 Ph: (808) 780-7603 | Temple Valley Mindful Wellness Llc 1005 Keolu Dr Kailua HI 96734-3873 Ph: (808) 780-7603 |
| NPI Number | 1578008520 |
|---|---|
| Provider Enumeration Date | 12/30/2016 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578008520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 4028 (Hawaii) | Primary |
| 106H00000X | Marriage & Family Therapist | 329 LMFT (Hawaii) | Secondary |
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