Organization
ISLAND MIND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANNING SLATE MD (LLC MANAGER / MEDICAL DIRECTOR)
(808) 229-3434
Entity
Organization
Contact information
Practice address
1955 MAIN ST STE 200, WAILUKU, HI 96793-1741
(808) 987-6404
Mailing address
1955 MAIN ST STE 200, WAILUKU, HI 96793-1741
(808) 229-3200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/05/2025
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