Provider Demographics
NPI:1699906628
Name:TAHAURI, ERIN (PSYD, LCSW)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:TAHAURI
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 S KING ST
Mailing Address - Street 2:SUITE 313
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2506
Mailing Address - Country:US
Mailing Address - Phone:808-384-4695
Mailing Address - Fax:888-393-2539
Practice Address - Street 1:1451 S KING ST
Practice Address - Street 2:SUITE 313
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2506
Practice Address - Country:US
Practice Address - Phone:808-384-4695
Practice Address - Fax:888-393-2539
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-08
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI35821041C0700X
HI1412103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical