# BODHI WELLNESS AND PSYCHOTHERAPY LLC

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

## Provider details

- **NPI number:** 1760990014
- **Authorized official:** DAVID J DOLAN LMHC, CSAC, LPC, (OWNER)
- **Authorized official phone:** (808) 379-3766

## Contact information

- **Practice address:** 1043 MAKAWAO AVE STE 209B, MAKAWAO, HI 96768
- **Practice address phone:** (808) 379-3766
- **Practice address fax:** (808) 379-3766
- **Mailing address:** 1043 MAKAWAO AVE STE 209B, MAKAWAO, HI 96768-9468
- **Mailing address phone:** (808) 379-3766
- **Mailing address fax:** (808) 379-3766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1959-17R | HI | — |
| 101YM0800X | Mental Health Counselor | MHC-494 | HI | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 08/28/2018