Organization Active NPI

The Healing Space LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Honolulu, HI
National Provider Identifier
1699537100
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE HEALING SPACE LLC
Practice address
401 Kamakee St Ste 305
Honolulu, HI 96814-4243
Phone
(808) 223-5054
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Connie-Anne Holman, LMHCNPI 1255714697
Title
Manager
Phone
(808) 223-5054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

401 Kamakee St Ste 305
Honolulu, HI 96814-4243

Mailing address

PO Box 4652
Kaneohe, HI 96744-8652
Phone (808) 223-5054

National Provider Directory

National Provider Directory

Locations

401 Kamakee St
Ste 305
Honolulu, HI 96814
Phone (808) 352-0883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1699537100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4652",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967448652",
            "telephone_number": "808-223-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144243",
            "telephone_number": "808-223-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "CONNIE-ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-223-5054",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.