# EARTHLY BALANCE MENTAL WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EARTHLY BALANCE PERINATAL WELLNESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841142189
- **Authorized official:** MEMPHIS CHARDELL SANDOVAL PMHNP-BC (OWNER)
- **Authorized official phone:** (808) 646-3782

## Contact information

- **Practice address:** 200 N VINEYARD BLVD STE A325-439, HONOLULU, HI 96817-3950
- **Practice address phone:** (808) 646-3782
- **Practice address fax:** (808) 336-2112
- **Mailing address:** 200 N VINEYARD BLVD STE A325-439, HONOLULU, HI 96817-3950
- **Mailing address phone:** (808) 646-3782
- **Mailing address fax:** (808) 336-2112

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2026
- **Last updated:** 02/10/2026