| Sacred Life Wellness, Llc. | |
|
55-3406 Akoni Pule Hwy Hawi HI 96719 | |
| (808) 209-2263 | |
| (833) 402-1821 |
| Full Name | Sacred Life Wellness, Llc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 55-3406 Akoni Pule Hwy, Hawi, Hawaii |
| Authorized Official Name and Position | Eduardo Jones (CO-OWNER) |
| Authorized Official Contact | 8082092263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Life Wellness, Llc. Po Box 1023 Kapaau HI 96755-1023 Ph: (808) 209-2263 | Sacred Life Wellness, Llc. 55-3406 Akoni Pule Hwy Hawi HI 96719 Ph: (808) 209-2263 |
| NPI Number | 1184379091 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 02/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184379091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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