Provider Demographics
NPI:1699471599
Name:SATORI MENTAL HEALTH LLC
Entity type:Organization
Organization Name:SATORI MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUITA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-722-7710
Mailing Address - Street 1:5972 HEAMOI PL
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-9704
Mailing Address - Country:US
Mailing Address - Phone:808-722-7710
Mailing Address - Fax:
Practice Address - Street 1:5972 HEAMOI PL
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-9704
Practice Address - Country:US
Practice Address - Phone:808-722-7710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty