Healthcare Provider Details

I. General information

NPI: 1023623527
Provider Name (Legal Business Name): MIKEILA RAMSEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-030 HEKAHA ST STE 24
AIEA HI
96701-4911
US

IV. Provider business mailing address

91-1344 IPUOLONO ST
EWA BEACH HI
96706-5898
US

V. Phone/Fax

Practice location:
  • Phone: 808-724-6658
  • Fax:
Mailing address:
  • Phone: 808-264-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1152-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: