Provider Demographics
NPI:1023565652
Name:LO, BUNNIE LEHUANANI (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:BUNNIE
Middle Name:LEHUANANI
Last Name:LO
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3975
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-6975
Mailing Address - Country:US
Mailing Address - Phone:808-855-8135
Mailing Address - Fax:
Practice Address - Street 1:4303 RICE ST STE 110A
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1369
Practice Address - Country:US
Practice Address - Phone:808-855-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI587101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health