Provider Demographics
NPI:1205255411
Name:ALVES, MYRA ESTELLA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:MYRA ESTELLA ANN
Middle Name:
Last Name:ALVES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MYRA ESTELLA ANN
Other - Middle Name:
Other - Last Name:TIRAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:683 WAIANAE AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96857-5000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:683 WAIANAE AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96857-5000
Practice Address - Country:US
Practice Address - Phone:808-433-8599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI38751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical