Provider Demographics
NPI:1891364980
Name:DEMELLO, CASHA TK (LMHC)
Entity Type:Individual
Prefix:
First Name:CASHA
Middle Name:TK
Last Name:DEMELLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 ROBERT PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1719
Mailing Address - Country:US
Mailing Address - Phone:808-722-5245
Mailing Address - Fax:949-655-7880
Practice Address - Street 1:1130 KOKO HEAD AVE STE 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3771
Practice Address - Country:US
Practice Address - Phone:808-722-5245
Practice Address - Fax:949-655-7880
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-603101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health