Provider Demographics
NPI:1255018917
Name:HEALING ELEMENTS PSYCHOLOGICAL
Entity type:Organization
Organization Name:HEALING ELEMENTS PSYCHOLOGICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-937-1339
Mailing Address - Street 1:PO BOX 10855
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-5855
Mailing Address - Country:US
Mailing Address - Phone:808-937-1339
Mailing Address - Fax:808-892-2479
Practice Address - Street 1:101 AUPUNI ST STE 243
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4261
Practice Address - Country:US
Practice Address - Phone:808-892-2475
Practice Address - Fax:808-892-2479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty