Elemental Guidance LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT-438 Issued in HI

Legal business name

ELEMENTAL GUIDANCE LLC

Practice address

260 Kamehameha Ave
Hilo, HI 96720-2859

Phone

(612) 644-0737

NPI assigned

Apr 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vishwani Ram-Souza, MA, LMFT

Title

Co-Owner

Phone

(612) 644-0737

Specialties & licenses 2

Addresses

Other names 1

• Elemental Couple and Family Therapy Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492819200000",
    "number": "1043745532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 KAMEHAMEHA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202859",
            "telephone_number": "612-644-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 KAMEHAMEHA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202859",
            "telephone_number": "612-644-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL GUIDANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-04-22",
        "status": "A",
        "authorized_official_last_name": "RAM-SOUZA",
        "authorized_official_first_name": "VISHWANI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-644-0737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-438",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "HI",
            "license": "MFT-397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemental Couple and Family Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Marriage & Family Therapist in Hilo, HI
• Providers in Hilo, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.