Provider Demographics
NPI:1942680988
Name:LUCY OLSEN, MFT
Entity Type:Organization
Organization Name:LUCY OLSEN, MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:LUCINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FAISON-OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:808-854-1884
Mailing Address - Street 1:87-3213 AMA RD
Mailing Address - Street 2:
Mailing Address - City:CAPTAIN COOK
Mailing Address - State:HI
Mailing Address - Zip Code:96704-8717
Mailing Address - Country:US
Mailing Address - Phone:808-854-1884
Mailing Address - Fax:808-328-9234
Practice Address - Street 1:92-8691 LOTUS BLOSSOM LANE #6
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96737
Practice Address - Country:US
Practice Address - Phone:808-326-1400
Practice Address - Fax:808-328-9234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI324251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health