Provider Demographics
NPI:1861036071
Name:INTEGRATIVE WELL-BEING
Entity Type:Organization
Organization Name:INTEGRATIVE WELL-BEING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:SIMAO
Authorized Official - Last Name:MARQUES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-278-9150
Mailing Address - Street 1:2600 PUALANI WAY APT 3004
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3940
Mailing Address - Country:US
Mailing Address - Phone:808-278-9150
Mailing Address - Fax:
Practice Address - Street 1:2600 PUALANI WAY APT 3004
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3940
Practice Address - Country:US
Practice Address - Phone:808-278-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health