| Illuminate Wellness | |
|
151 E Wakea Ave Kahului HI 96732-2475 | |
| (808) 518-1619 | |
| (844) 587-9577 |
| Full Name | Illuminate Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 151 E Wakea Ave, Kahului, Hawaii |
| Authorized Official Name and Position | Lauren E Ampolos (MEMBER) |
| Authorized Official Contact | 8085181619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Wellness 415 Dairy Rd Ste E323 Kahului HI 96732-2348 Ph: (808) 518-1619 | Illuminate Wellness 151 E Wakea Ave Kahului HI 96732-2475 Ph: (808) 518-1619 |
| NPI Number | 1144786674 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144786674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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