Healthcare Provider Details

I. General information

NPI: 1164873337
Provider Name (Legal Business Name): KENDYL YAEKO OSHIRO LEE PSYD, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-080 KAUHALE ST STE C20
AIEA HI
96701-4114
US

IV. Provider business mailing address

99-080 KAUHALE ST STE C20
AIEA HI
96701-4114
US

V. Phone/Fax

Practice location:
  • Phone: 808-953-4682
  • Fax: 808-488-8535
Mailing address:
  • Phone: 808-953-4682
  • Fax: 808-488-8535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-800
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: