Provider Demographics
NPI:1851155113
Name:WAYAS-KAPAKU, KYLA MAPUANA (LCSW)
Entity Type:Individual
Prefix:
First Name:KYLA
Middle Name:MAPUANA
Last Name:WAYAS-KAPAKU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 KEANUHEA ST
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-7281
Mailing Address - Country:US
Mailing Address - Phone:808-357-9551
Mailing Address - Fax:
Practice Address - Street 1:140 KEANUHEA ST
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-7281
Practice Address - Country:US
Practice Address - Phone:808-357-9551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-50651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical