Provider Demographics
NPI:1538422589
Name:KAUHINI, LYANN (LMFT)
Entity type:Individual
Prefix:
First Name:LYANN
Middle Name:
Last Name:KAUHINI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 QUEEN EMMA ST APT 2812
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-6317
Mailing Address - Country:US
Mailing Address - Phone:808-391-6096
Mailing Address - Fax:
Practice Address - Street 1:94-1036 WAIPIO UKA ST STE 109
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4050
Practice Address - Country:US
Practice Address - Phone:808-391-6096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-23
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT 299106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1538422589Medicaid