Organization
PACIFIC ISLAND CONSULTING LLC
Active
Other names
Mindful Living Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARION HART (BILLING & ADMINISTRATIVE DIRECTOR)
(808) 283-4300
Entity
Organization
Contact information
Practice address
1300 N HOLOPONO ST STE 108, KIHEI, HI 96753-6946
(808) 206-9371
(855) 270-7441
Mailing address
PO BOX 1977, KIHEI, HI 96753-1977
(855) 968-9371
(808) 442-0321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800107
—
HI
Enumeration date
02/01/2016
Last updated
12/10/2023
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