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NPI Code Detail

MEDICARE: HO'OLOKAHI WELLNESS, LLC

MEDICARE: HO'OLOKAHI WELLNESS, 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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1679313811
Entity Type Code : Organization
Provider Name (Legal Business Name) : HO'OLOKAHI WELLNESS, LLC
Provider Business Mailing Address
First Line : 45-1123 KAMEHAMEHA HWY STE D
Second Line :
City : KANEOHE
State : HI
Zip : 96744-3252
Country : US
Telephone Number : 808-744-0222
Fax Number :
Provider Business Practice Location Address
First Line : 45-1123 KAMEHAMEHA HWY STE D
Second Line :
City : KANEOHE
State : HI
Zip : 96744-3252
Country : US
Telephone Number : 808-744-0222
Fax Number :
Authorized Official
Title or Position : PSYCHIATRIC NURSE PRACTITIONER
Name : JACQUELINE WERNER
Credential : NP
Telephone Number : 808-256-8589
Provider Enumeration Date : 05/27/2024
Last Update Date : 05/27/2024

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Directions to “HO'OLOKAHI WELLNESS, LLC ” Practice Location

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