NPI Code Details Logo

NPI 1992689244

NPI 1992689244 : ALOHA HEALTH & WELLNESS LLC : ST PETERSBURG, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992689244
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALOHA HEALTH & WELLNESS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/31/2025
-----------------------------------------------------
    Last Update Date     |    07/31/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7901 4TH ST N STE 300 
-----------------------------------------------------
    City                 |    ST PETERSBURG
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33702-4399
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    443-802-8102
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7901 4TH ST N STE 300 
-----------------------------------------------------
    City                 |    ST PETERSBURG
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33702-4399
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MS. MARY OLIVIA MAENNER 
-----------------------------------------------------
    Credential           |    OTR/L
-----------------------------------------------------
    Telephone            |    443-802-8102
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.