Provider Demographics
NPI:1518640408
Name:COUTURE, MINA THERESA (LMHC)
Entity Type:Individual
Prefix:
First Name:MINA
Middle Name:THERESA
Last Name:COUTURE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MINA
Other - Middle Name:THERESA
Other - Last Name:PLOURDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-0788
Mailing Address - Country:US
Mailing Address - Phone:808-953-4682
Mailing Address - Fax:808-488-8535
Practice Address - Street 1:99-080 KAUHALE ST STE C20
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4114
Practice Address - Country:US
Practice Address - Phone:808-953-4682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health