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TEMPLE VALLEY MINDFUL WELLNESS LLC NPI 1578008520


NPI Information

NPI: 1578008520
Provider Name: TEMPLE VALLEY MINDFUL WELLNESS LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1005 KEOLU DR
KAILUA, HI
ZIP 96734
Phone: (808) 780-7603
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TEMPLE VALLEY MINDFUL WELLNESS LLC is a clinical social worker in Kailua, HI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. TEMPLE VALLEY MINDFUL WELLNESS LLC NPI is 1578008520. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1005 KEOLU DR
KAILUA, HI
ZIP 96734-873
Phone: (808) 780-7603
Fax: (888) 974-1502

The provider's authorized official is Rachel Esther Whipple .
The authorized official title is Lcsw/therapist and has the following contact phone number (808) 780-7603.

The enumeration date for this NPI number is 12/30/2016 and was last updated on 12/30/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalLCSW 4028HAWAIIYes
2106H00000XMarriage & Family Therapist329 LMFTHAWAIINo

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: 4/28/2024

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