Healthcare Provider Details

I. General information

NPI: 1811403975
Provider Name (Legal Business Name): AMY PUI YI YANG LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98-084 KAMEHAMEHA HWY STE 304
AIEA HI
96701-5124
US

IV. Provider business mailing address

1055 KALIHIWAI PL
HONOLULU HI
96825-1362
US

V. Phone/Fax

Practice location:
  • Phone: 916-644-0994
  • Fax:
Mailing address:
  • Phone: 808-343-0093
  • Fax: 855-264-1894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT-795
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: