MEDICARE: HEALING HAWAII PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1457219826
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HAWAII PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	PO BOX 88041
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96830-8041
Country	:	US
Telephone Number	:	808-489-9181
Fax Number	:	808-443-0310

Provider Business Practice Location Address
First Line	:	1001 BISHOP ST STE 2685A
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3404
Country	:	US
Telephone Number	:	808-489-9181
Fax Number	:	808-443-0310

Authorized Official
Title or Position	:	MEMBER
Name	:	JOANNE WILLIAMS
Credential	:	APRN, PMHNP-BC
Telephone Number	:	808-489-9181

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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