Provider Demographics
NPI:1487363651
Name:PIHI, LHYCA JOY BUTAC
Entity type:Individual
Prefix:MRS
First Name:LHYCA JOY
Middle Name:BUTAC
Last Name:PIHI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LHYCA JOY
Other - Middle Name:TAMAYO
Other - Last Name:BUTAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BEFORE MARRIAGE
Mailing Address - Street 1:141 MILIKANA PL
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1712
Mailing Address - Country:US
Mailing Address - Phone:808-260-8789
Mailing Address - Fax:
Practice Address - Street 1:1001 KAMOKILA BLVD STE D-8
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2014
Practice Address - Country:US
Practice Address - Phone:808-591-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician