Provider Demographics
NPI:1740474766
Name:MYERS, MARCIA A (LMHC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:A
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 LUNALILO HOME RD
Mailing Address - Street 2:SUITE 7115
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1700
Mailing Address - Country:US
Mailing Address - Phone:808-286-1246
Mailing Address - Fax:808-489-9740
Practice Address - Street 1:520 LUNALILO HOME RD
Practice Address - Street 2:SUITE 7115
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-1700
Practice Address - Country:US
Practice Address - Phone:808-286-1246
Practice Address - Fax:808-489-9740
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health