Provider Demographics
NPI:1326709304
Name:SIMS, CHRISTYN (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTYN
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHRISTYN
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:91-1008 WAAULA ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2839 #3E HENRY ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96917
Practice Address - Country:US
Practice Address - Phone:808-723-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health