Healthcare Provider Details

I. General information

NPI: 1821917048
Provider Name (Legal Business Name): ALOHA INTEGRATIVE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18-1228 KONA ST
MOUNTAIN VIEW HI
96771
US

IV. Provider business mailing address

16-586 OLD VOLCANO RD STE 100-3227
KEAAU HI
96749-8115
US

V. Phone/Fax

Practice location:
  • Phone: 808-501-0211
  • Fax: 808-452-1306
Mailing address:
  • Phone: 808-501-0211
  • Fax: 808-452-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEANN NEILSON
Title or Position: OWNER
Credential: PMHNP
Phone: 808-501-0211