# SELF CENTERED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063349983
- **Authorized official:** DR. R S HUNDERTMARK DNP, APRN, PMHNP-C (MANAGER)
- **Authorized official phone:** (808) 994-6444

## Contact information

- **Practice address:** 647 PAOPUA LOOP, KAILUA, HI 96734-3535
- **Practice address phone:** (808) 994-6444
- **Mailing address:** PO BOX 1224, KAILUA, HI 96734-1224
- **Mailing address phone:** (808) 994-6444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH1000X | Hospice Registered Nurse | — | NULL | — |
| 163WH1000X | Hospice Registered Nurse | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2026
- **Last updated:** 05/05/2026