Organization
SACRED LIFE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO JONES PH.D. (CO-OWNER)
(808) 209-2263
Entity
Organization
Contact information
Practice address
53-4411 AKONI PULE HWY, KAPAAU, HI 96755
(808) 209-2263
(833) 402-1821
Mailing address
PO BOX 1023, KAPAAU, HI 96755-1023
(808) 209-2263
(833) 402-1821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/18/2022
Last updated
07/01/2024
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