Provider Demographics
NPI:1578005377
Name:IWAMI, STEFANI (LMFT)
Entity Type:Individual
Prefix:
First Name:STEFANI
Middle Name:
Last Name:IWAMI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:STEFANI
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 838
Mailing Address - Street 2:
Mailing Address - City:KEKAHA
Mailing Address - State:HI
Mailing Address - Zip Code:96752
Mailing Address - Country:US
Mailing Address - Phone:808-722-6082
Mailing Address - Fax:
Practice Address - Street 1:3094 ELUA ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1209
Practice Address - Country:US
Practice Address - Phone:808-245-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI495106H00000X
HI1889-16101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)