Healthcare Provider Details

I. General information

NPI: 1245962661
Provider Name (Legal Business Name): SUNSHINEHOLISTICHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 ALA WAI BLVD APT 706
HONOLULU HI
96815-3407
US

IV. Provider business mailing address

400 KEAWE STREET APT. 319
HONOLULU HI
96813
US

V. Phone/Fax

Practice location:
  • Phone: 512-966-8298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: SAHITI KARUMURI
Title or Position: OWNER
Credential:
Phone: 512-966-8298