Provider Demographics
NPI:1932933256
Name:PIHA WELLNESS AND HEALING
Entity type:Organization
Organization Name:PIHA WELLNESS AND HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO ISHIKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAC, CCS
Authorized Official - Phone:808-276-7243
Mailing Address - Street 1:56 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1725
Mailing Address - Country:US
Mailing Address - Phone:808-818-8094
Mailing Address - Fax:
Practice Address - Street 1:56 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1725
Practice Address - Country:US
Practice Address - Phone:808-818-8094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty