Provider Demographics
NPI:1043979610
Name:GIMA, CHARNAY SHEMESA (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:CHARNAY
Middle Name:SHEMESA
Last Name:GIMA
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 LEHUA AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3364
Mailing Address - Country:US
Mailing Address - Phone:808-364-8852
Mailing Address - Fax:
Practice Address - Street 1:906 LEHUA AVE APT 401
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3364
Practice Address - Country:US
Practice Address - Phone:808-364-8852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8212255A2300X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer