Provider Demographics
NPI:1346722493
Name:KRISTI SAKAMOTO, MSCP, LMHC, NCC, LLC
Entity Type:Organization
Organization Name:KRISTI SAKAMOTO, MSCP, LMHC, NCC, LLC
Other - Org Name:KRISTI SAKAMOTO, MSCP, LMHC, NCC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-391-2647
Mailing Address - Street 1:98-030 HEKAHA ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4916
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:98-030 HEKAHA ST UNIT 3
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4916
Practice Address - Country:US
Practice Address - Phone:808-391-2647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty