Provider Demographics
NPI:1922983725
Name:MINDFUL GALLERY OF HAWAII LLC
Entity type:Organization
Organization Name:MINDFUL GALLERY OF HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIKA
Authorized Official - Middle Name:MAILANI
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:213-267-0803
Mailing Address - Street 1:1221 KAPIOLANI BLVD PH 50
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3518
Mailing Address - Country:US
Mailing Address - Phone:213-267-0803
Mailing Address - Fax:
Practice Address - Street 1:1221 KAPIOLANI BLVD PH50
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:213-267-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty