Provider Demographics
NPI:1255076865
Name:KILBURY, ERIN (MA LMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:KILBURY
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59-530 AUKAUKA RD
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-8521
Mailing Address - Country:US
Mailing Address - Phone:612-309-1800
Mailing Address - Fax:
Practice Address - Street 1:59-530 AUKAUKA RD
Practice Address - Street 2:
Practice Address - City:HALEIWA
Practice Address - State:HI
Practice Address - Zip Code:96712-8521
Practice Address - Country:US
Practice Address - Phone:612-309-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health