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General NPI Number Information
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NPI Number | 1932053162
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Entity Type | Organization
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Legal Business Name | MIND AND WELLNESS THERAPY LLC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 58-121 KAUNALA ST
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City | HALEIWA
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State | HI
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Zip | 96712-9776
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Country | US
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Telephone | 808-796-7013
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 572
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City | HALEIWA
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State | HI
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Zip | 96712-0572
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Country | US
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Telephone | 808-796-7013
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Fax |
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Authorized Official
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Title or Position | CEO, CLINICAL PSYCHOTHERAPIST
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Name | ASHLEY WINSLOW
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Credential | LMHC
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Telephone | 808-796-7013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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