Organization
HEALING HEARTS THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLY GRACE BUNGHANOY-DIAMA LCSW (OWNER)
(808) 782-7072
Entity
Organization
Contact information
Practice address
91-3362 MAOHIOHI LOOP, EWA BEACH, HI 96706-5850
(808) 782-7072
Mailing address
91-3362 MAOHIOHI LOOP, EWA BEACH, HI 96706-5850
(808) 782-7072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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