ILLUMINATE WELLNESS NPI 1144786674

NPI Information

NPI: 1144786674
Provider Name: ILLUMINATE WELLNESS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
151 E WAKEA AVE
KAHULUI, HI
ZIP 96732
Phone: (808) 518-1619
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ILLUMINATE WELLNESS is a mental health (including community mental health center) clinic center in Kahului, HI. ILLUMINATE WELLNESS NPI is 1144786674. The provider is registered as an organization entity type.

The provider's business location address is:

151 E WAKEA AVE
KAHULUI, HI
ZIP 96732-475
Phone: (808) 518-1619
Fax: (844) 587-9577

The provider's authorized official is Lauren E Ampolos .
The authorized official title is Member and has the following contact phone number (808) 518-1619.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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