Provider Demographics
NPI:1801662945
Name:TREE OF LIFE MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:TREE OF LIFE MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONDAY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-233-9971
Mailing Address - Street 1:1671 MAHANI LOOP
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2831
Mailing Address - Country:US
Mailing Address - Phone:808-233-9971
Mailing Address - Fax:
Practice Address - Street 1:1429 MAKIKI ST STE 2202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1381
Practice Address - Country:US
Practice Address - Phone:808-233-9971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty