Healthcare Provider Details

I. General information

NPI: 1548976178
Provider Name (Legal Business Name): MINDFUL MOVES THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-820 MOANALUA RD SPC 5
AIEA HI
96701-5200
US

IV. Provider business mailing address

98-820 MOANALUA RD SPC 5
AIEA HI
96701-5200
US

V. Phone/Fax

Practice location:
  • Phone: 808-755-3129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA SCHOENFELD
Title or Position: OWNER
Credential: LCSW
Phone: 808-755-3129