Provider Demographics
NPI:1851466148
Name:HEALING JOURNEY, LLC.
Entity Type:Organization
Organization Name:HEALING JOURNEY, LLC.
Other - Org Name:WINDWARD THERAPEUTIC MASSAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:HAUNANI
Authorized Official - Last Name:FEATHERAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:808-236-1529
Mailing Address - Street 1:45-1144 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3244
Mailing Address - Country:US
Mailing Address - Phone:808-236-1529
Mailing Address - Fax:808-236-0844
Practice Address - Street 1:45-1144 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3244
Practice Address - Country:US
Practice Address - Phone:808-236-1529
Practice Address - Fax:808-236-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAE 1745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty