Provider Demographics
NPI:1295225530
Name:ALLEN, AHMAL HASAN (LMFT)
Entity Type:Individual
Prefix:
First Name:AHMAL
Middle Name:HASAN
Last Name:ALLEN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 ALA KAPUNA ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4642
Mailing Address - Country:US
Mailing Address - Phone:702-628-6727
Mailing Address - Fax:
Practice Address - Street 1:1247 ALA KAPUNA ST APT 101
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4642
Practice Address - Country:US
Practice Address - Phone:702-628-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-870106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist