Healthcare Provider Details

I. General information

NPI: 1922530914
Provider Name (Legal Business Name): SARAH BETH HOOLIHAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1000 KAILOA ST
EWA BEACH HI
96706-5014
US

IV. Provider business mailing address

91-1000 KAILOA ST
EWA BEACH HI
96706-5014
US

V. Phone/Fax

Practice location:
  • Phone: 484-432-4104
  • Fax:
Mailing address:
  • Phone: 484-432-4104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-921
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: