Provider Demographics
NPI:1033400635
Name:HEALING TOUCH INTEGRATIVE WELLNESS & COUNSELING LLC
Entity Type:Organization
Organization Name:HEALING TOUCH INTEGRATIVE WELLNESS & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ODIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINZIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MHC
Authorized Official - Phone:240-601-5272
Mailing Address - Street 1:45-329 PUALI ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2241
Mailing Address - Country:US
Mailing Address - Phone:240-601-5272
Mailing Address - Fax:
Practice Address - Street 1:45-329 PUALI ST
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2241
Practice Address - Country:US
Practice Address - Phone:240-601-5272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty