Healthcare Provider Details

I. General information

NPI: 1134099849
Provider Name (Legal Business Name): OHANA WELLNESS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 NUUANU AVE # LL2
HONOLULU HI
96817-5190
US

IV. Provider business mailing address

928 NUUANU AVE # LL2
HONOLULU HI
96817-5190
US

V. Phone/Fax

Practice location:
  • Phone: 808-642-8874
  • Fax: 808-215-7671
Mailing address:
  • Phone: 808-642-8874
  • Fax: 808-215-7671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WILMA CARON
Title or Position: OWNER
Credential: PMHNP
Phone: 808-642-8874