# WHALESONG WELLNESS CORPORATION

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

## Provider details

- **NPI number:** 1962163451
- **Authorized official:** MS. SHELLEY SHANE (PRESIDENT)
- **Authorized official phone:** (808) 895-0090

## Contact information

- **Practice address:** 73-1103 AHIKAWA ST, KAILUA-KONA, HI 96740
- **Practice address phone:** (808) 895-0090
- **Mailing address:** PO BOX 494, KAILUA-KONA, HI 96745
- **Mailing address phone:** (808) 895-0090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2022
- **Last updated:** 01/06/2022