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NPI Code Detail

MEDICARE: HAWAII HOLISTIC THERAPY

MEDICARE: HAWAII HOLISTIC THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11730724345OTHERHIMAISA ZIEGLER

General Provider Information

NPI Number : 1871202515
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAWAII HOLISTIC THERAPY
Provider Business Mailing Address
First Line : 44-403 KANEOHE BAY DR
Second Line :
City : KANEOHE
State : HI
Zip : 96744-2611
Country : US
Telephone Number : 808-429-4213
Fax Number :
Provider Business Practice Location Address
First Line : 44-403 KANEOHE BAY DR
Second Line :
City : KANEOHE
State : HI
Zip : 96744-2611
Country : US
Telephone Number : 808-429-4213
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MAISA LEILANI ZIEGLER
Credential : LCSW
Telephone Number : 808-429-4213
Provider Enumeration Date : 11/22/2022
Last Update Date : 11/22/2022

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Directions to “HAWAII HOLISTIC THERAPY ” Practice Location

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