BEACON OF LASTING CHANGE, LLC
NPI 1396404877
Clinic/Center - Adult Mental Health in Honolulu, HI

Active since December 13, 2021
438 HOBRON LN STE 311, HONOLULU, HI 96815(808) 600-1132 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beacon Of Lasting Change, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACON OF LASTING CHANGE, LLC (NPI 1396404877) is a healthcare organization registered as an adult mental health in Honolulu, Hawaii and active in the NPI registry since December 2021. The organization lists Maita Marks, Manager, as its authorized official.

NPPES Registry Identity

NPI1396404877
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBEACON OF LASTING CHANGE, LLC
Location Address438 HOBRON LN STE 311Honolulu, HI 96815-1229
Mailing Address5984 Gannet AveEwa Beach, HI 96706-3239 · (808) 600-1132
Organization SubpartNo
Authorized OfficialMaita MarksManager · (808) 600-1132
Enumeration DateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
NPI 1396404877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
438 HOBRON LN STE 311, Honolulu, HI 96815

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
438 HOBRON LN STE 311
HONOLULU, HI 96815
Social Worker (Clinical)
438 HOBRON LN STE 311
HONOLULU, HI 96815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beacon Of Lasting Change, LLC's NPI number?

The NPI number for Beacon Of Lasting Change, LLC is 1396404877. It was assigned to this organization in the NPPES registry on December 13, 2021.

Where is Beacon Of Lasting Change, LLC located?

Beacon Of Lasting Change, LLC is located at 438 Hobron Ln Ste 311, Honolulu, HI 96815. The listed phone number is (808) 600-1132.

What is Beacon Of Lasting Change, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Beacon Of Lasting Change, LLC was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.