Organization
TIGER LILY PSYCHIATRY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE KING (OWNER)
(808) 561-4302
Entity
Organization
Contact information
Practice address
4300 WAIALAE AVE APT B1104, HONOLULU, HI 96816-5758
(808) 561-4302
Mailing address
4300 WAIALAE AVE APT B1104, HONOLULU, HI 96816-5758
(808) 561-4302
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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