# STILLWATER WELLNESS LLC

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

## Provider details

- **NPI number:** 1093623936
- **Authorized official:** LISA LUCIA (BUSINESS OWNER)
- **Authorized official phone:** (808) 481-6292

## Contact information

- **Practice address:** 67 KEOKEA LOOP, HILO, HI 96720-4980
- **Practice address phone:** (808) 481-6292
- **Mailing address:** 15-2660 PAHOA VILLAGE RD STE 203-639, PAHOA, HI 96778-6720
- **Mailing address phone:** (808) 481-6292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2026
- **Last updated:** 08/31/2026
