Healthcare Provider Details

I. General information

NPI: 1326497645
Provider Name (Legal Business Name): DAVID MARK HASHIMOTO MHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 12/28/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 AUPUNI ST. STE 115
HILO HI
96720
US

IV. Provider business mailing address

101 AUPUNI ST. STE 115
HILO HI
96720
US

V. Phone/Fax

Practice location:
  • Phone: 808-731-9991
  • Fax: 808-969-9447
Mailing address:
  • Phone: 808-731-9991
  • Fax: 808-969-9447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-402
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: