| Island Mind Therapy Llc | |
|
1955 Main St Ste 200 Wailuku HI 96793-1741 | |
| (808) 987-6404 | |
| Not Available |
| Full Name | Island Mind Therapy Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1955 Main St Ste 200, Wailuku, Hawaii |
| Authorized Official Name and Position | Channing Slate (LLC MANAGER / MEDICAL DIRECTOR) |
| Authorized Official Contact | 8082293434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Mind Therapy Llc 1955 Main St Ste 200 Wailuku HI 96793-1741 Ph: (808) 229-3200 | Island Mind Therapy Llc 1955 Main St Ste 200 Wailuku HI 96793-1741 Ph: (808) 987-6404 |
| NPI Number | 1285462234 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/05/2025 |
| Certification Date | 07/05/2025 |
| Medicare PECOS PAC ID | 1658806617 |
|---|---|
| Medicare Enrollment ID | O20241127001836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285462234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Channing S Slate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801021621 PECOS PAC ID: 5698901064 Enrollment ID: I20191206001418 |
Khf Enterprises Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Central Ave, Suite 5, Wailuku, HI 96793 Phone: 808-250-9925 | |
Ohana Roots Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 688 Meakanu Ln Apt 1105, Wailuku, HI 96793 Phone: 808-281-3017 | |
Mni Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Imi Kala St Ste 203e, Wailuku, HI 96793 Phone: 808-276-7243 | |
Inner Abundance Therapy Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23 Hoola Hou St, Wailuku, HI 96793 Phone: 808-344-8236 | |
Parents And Children Together Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 N Market St, Ste. 200, Wailuku, HI 96793 Phone: 808-244-2330 | |
Tmeoai Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Imi Kala St Ste 203a, Wailuku, HI 96793 Phone: 808-283-8640 Fax: 808-633-8425 | |
Bayada Home Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Imi Kala St, Wailuku, HI 96793 Phone: 808-244-6879 Fax: 808-873-0273 |