Provider Demographics
NPI:1558494120
Name:AKIMO-LUUWAI, MARY LEILANI (MSCP)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LEILANI
Last Name:AKIMO-LUUWAI
Suffix:
Gender:F
Credentials:MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170A MOKUAHI ST
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8962
Mailing Address - Country:US
Mailing Address - Phone:808-573-8998
Mailing Address - Fax:
Practice Address - Street 1:170A MOKUAHI ST
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8962
Practice Address - Country:US
Practice Address - Phone:808-573-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker