| Iao Mind & Body Health, Llc | |
|
664 Lauie Dr Kula HI 96790-7218 | |
| (808) 389-2611 | |
| Not Available |
| Full Name | Iao Mind & Body Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 664 Lauie Dr, Kula, Hawaii |
| Authorized Official Name and Position | Haunani Iao (OWNER) |
| Authorized Official Contact | 8083892611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iao Mind & Body Health, Llc Po Box 722 Kula HI 96790-0722 Ph: (808) 389-2611 | Iao Mind & Body Health, Llc 664 Lauie Dr Kula HI 96790-7218 Ph: (808) 389-2611 |
| NPI Number | 1720535776 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Medicare PECOS PAC ID | 2860816774 |
|---|---|
| Medicare Enrollment ID | O20200724002189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720535776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Haunani M Iao |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659560753 PECOS PAC ID: 9638359052 Enrollment ID: I20110202000162 |
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