Provider Demographics
NPI:1194016998
Name:NAKAMURA, SHEA YUKI (LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHEA
Middle Name:YUKI
Last Name:NAKAMURA
Suffix:
Gender:F
Credentials:LMFT
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 240991
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96824-0991
Mailing Address - Country:US
Mailing Address - Phone:808-650-4678
Mailing Address - Fax:833-657-6526
Practice Address - Street 1:98-211 PALI MOMI ST STE 635
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-650-4678
Practice Address - Fax:833-657-6526
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85661106H00000X
HI590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist