Provider Demographics
NPI:1396081220
Name:FAUGHT, ZOEY LYNN (MA, LMHCA)
Entity type:Individual
Prefix:MRS
First Name:ZOEY
Middle Name:LYNN
Last Name:FAUGHT
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:ZOEY
Other - Middle Name:LYNN
Other - Last Name:LUXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:15-2662 PAHOA VILLAGE RD #306
Mailing Address - Street 2:PMB 8592
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778
Mailing Address - Country:US
Mailing Address - Phone:206-992-3636
Mailing Address - Fax:
Practice Address - Street 1:15-1942 7TH AVE.
Practice Address - Street 2:
Practice Address - City:KEA'AU
Practice Address - State:HI
Practice Address - Zip Code:96749
Practice Address - Country:US
Practice Address - Phone:206-992-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-20
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60185652101YM0800X
HIMHC474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health