Provider Demographics
NPI:1811403975
Name:YANG, AMY PUI YI (LMFT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:PUI YI
Last Name:YANG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 KALIHIWAI PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1362
Mailing Address - Country:US
Mailing Address - Phone:808-343-0093
Mailing Address - Fax:855-264-1894
Practice Address - Street 1:98-084 KAMEHAMEHA HWY STE 304
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5124
Practice Address - Country:US
Practice Address - Phone:916-644-0994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-795106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist