Provider Demographics
NPI:1194326959
Name:PRESENCE OF MIND INC
Entity type:Organization
Organization Name:PRESENCE OF MIND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZOEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FAUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-992-3636
Mailing Address - Street 1:15-2662 PAHOA VILLAGE RD N306
Mailing Address - Street 2:PMB 8592
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778
Mailing Address - Country:US
Mailing Address - Phone:206-992-3636
Mailing Address - Fax:808-731-5048
Practice Address - Street 1:15-1942 7TH AVE.
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749
Practice Address - Country:US
Practice Address - Phone:206-992-3636
Practice Address - Fax:808-731-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty