Provider Demographics
NPI:1558020677
Name:HAWAII CHILD AND FAMILY THERAPY
Entity Type:Organization
Organization Name:HAWAII CHILD AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDWARD-HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-954-2334
Mailing Address - Street 1:941 KAMEHAMEHA HWY STE 204
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2516
Mailing Address - Country:US
Mailing Address - Phone:808-954-2334
Mailing Address - Fax:
Practice Address - Street 1:941 KAMEHAMEHA HWY STE 204
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2516
Practice Address - Country:US
Practice Address - Phone:808-954-2334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty