# ELEMENTAL GUIDANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elemental Couple and Family Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043745532
- **Authorized official:** MRS. VISHWANI RAM-SOUZA MA, LMFT (CO-OWNER)
- **Authorized official phone:** (612) 644-0737

## Contact information

- **Practice address:** 260 KAMEHAMEHA AVE, HILO, HI 96720-2859
- **Practice address phone:** (612) 644-0737
- **Mailing address:** 260 KAMEHAMEHA AVE, HILO, HI 96720-2859
- **Mailing address phone:** (612) 644-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT-438 | HI | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | MFT-397 | HI | — |

## Other

- **Enumeration date:** 04/22/2017
- **Last updated:** 04/22/2017
