# DSM THERAPEUTIC AND WELLNESS CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205216959
- **Authorized official:** DANELLE S MEDEIROS MSCP (MEMBER MANAGER)
- **Authorized official phone:** (808) 387-3922

## Contact information

- **Practice address:** 91-1100 PAAOLOULU WAY, KAPOLEI, HI 96707-3102
- **Practice address phone:** (808) 387-3922
- **Practice address fax:** (808) 672-0104
- **Mailing address:** 92-7045 KAHEA ST, KAPOLEI, HI 96707-2302
- **Mailing address phone:** (808) 387-3922
- **Mailing address fax:** (808) 672-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | HI | Yes |
| 103TC1900X | Counseling Psychologist | — | HI | — |
| 106H00000X | Marriage & Family Therapist | — | HI | — |

## Other

- **Enumeration date:** 06/08/2015
- **Last updated:** 06/08/2015