Provider Demographics
NPI:1821141904
Name:HENKEL, DANIEL SWARTZ (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:SWARTZ
Last Name:HENKEL
Suffix:
Gender:M
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 1:2070 W VINEYARD ST STE 3
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1699
Mailing Address - Country:US
Mailing Address - Phone:808-740-8380
Mailing Address - Fax:
Practice Address - Street 1:2070 W VINEYARD ST STE 3
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1699
Practice Address - Country:US
Practice Address - Phone:808-740-8380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-605106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist