Provider Demographics
NPI:1003074337
Name:ESPINUEVA, HOLLY ELIZABETH (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:ELIZABETH
Last Name:ESPINUEVA
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 LIHOLANI ST
Mailing Address - Street 2:UNIT 8
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8462
Mailing Address - Country:US
Mailing Address - Phone:808-264-0436
Mailing Address - Fax:
Practice Address - Street 1:2740 LIHOLANI ST
Practice Address - Street 2:UNIT 8
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8462
Practice Address - Country:US
Practice Address - Phone:808-264-0436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT 128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist