| The Healing Space Llc | |
|
401 Kamakee St Ste 305 Honolulu HI 96814-4243 | |
| (808) 223-5054 | |
| Not Available |
| Full Name | The Healing Space Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 401 Kamakee St Ste 305, Honolulu, Hawaii |
| Authorized Official Name and Position | Connie-anne Holman (MANAGER) |
| Authorized Official Contact | 8082235054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Space Llc Po Box 4652 Kaneohe HI 96744-8652 Ph: (808) 223-5054 | The Healing Space Llc 401 Kamakee St Ste 305 Honolulu HI 96814-4243 Ph: (808) 223-5054 |
| NPI Number | 1699537100 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699537100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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