Provider Demographics
NPI:1356862585
Name:HORVITZ, LEANNE KIYOKO (LMHC)
Entity Type:Individual
Prefix:
First Name:LEANNE
Middle Name:KIYOKO
Last Name:HORVITZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 WILIWILI ST APT 502
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-4131
Mailing Address - Country:US
Mailing Address - Phone:808-426-8442
Mailing Address - Fax:
Practice Address - Street 1:875 WAIMANU ST STE 600
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5267
Practice Address - Country:US
Practice Address - Phone:808-791-6100
Practice Address - Fax:808-587-6070
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health