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General NPI Number Information
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NPI Number | 1538951876
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Entity Type | Organization
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Legal Business Name | MENTAL WEALTH HAWAII
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 7192 KALANIANAOLE HWY STE G220
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City | HONOLULU
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State | HI
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Zip | 96825-1845
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Country | US
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Telephone | 630-853-5198
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Fax |
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Provider Business Mailing Address
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Address Line | 1242 HONOKAHUA ST
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City | HONOLULU
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State | HI
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Zip | 96825-3015
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Country | US
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Telephone | 630-853-5198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIANA CHUN PUCCETTI
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Credential | LCSW
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Telephone | 630-853-5198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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