Provider Demographics
NPI:1265756258
Name:BEFI, MICHELLE ANN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANN
Last Name:BEFI
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5214 LOWER HONOAPIILANI RD
Mailing Address - Street 2:
Mailing Address - City:LAHAINA
Mailing Address - State:HI
Mailing Address - Zip Code:96761-9113
Mailing Address - Country:US
Mailing Address - Phone:808-359-1442
Mailing Address - Fax:
Practice Address - Street 1:5214 LOWER HONOAPIILANI RD
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-9113
Practice Address - Country:US
Practice Address - Phone:808-359-1442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63640101YP2500X
TX201319106H00000X
HIMFT-743-0106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional