Provider Demographics
NPI:1629794904
Name:D.M.I. LLC
Entity Type:Organization
Organization Name:D.M.I. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:MALIA
Authorized Official - Last Name:ISHIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-838-9781
Mailing Address - Street 1:PO BOX 17694
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-0694
Mailing Address - Country:US
Mailing Address - Phone:808-838-9781
Mailing Address - Fax:
Practice Address - Street 1:94-1388 MOANIANI ST STE 207
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6604
Practice Address - Country:US
Practice Address - Phone:808-838-9781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty