Provider Demographics
NPI:1669867172
Name:FUI, SARAH BETH (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:FUI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:OKURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:366 W PUAINAKO ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2745
Mailing Address - Country:US
Mailing Address - Phone:808-990-1482
Mailing Address - Fax:855-674-1817
Practice Address - Street 1:366 W PUAINAKO ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2745
Practice Address - Country:US
Practice Address - Phone:808-990-1482
Practice Address - Fax:855-674-1817
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical