Healthcare Provider Details

I. General information

NPI: 1689217564
Provider Name (Legal Business Name): HAKUNA WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 S JIMMIES CREEK DR
NEW BERN NC
28562-3704
US

IV. Provider business mailing address

304 S JIMMIES CREEK DR
NEW BERN NC
28562-3704
US

V. Phone/Fax

Practice location:
  • Phone: 252-631-6059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN EKLUND
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 252-638-3888