Healthcare Provider Details

I. General information

NPI: 1720307689
Provider Name (Legal Business Name): MICHAEL THEODORE HESTER LCP, LCPC, LPN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1182 ALA KIPA ST APT 202
HONOLULU HI
96819-1217
US

IV. Provider business mailing address

1182 ALA KIPA ST APT 202
HONOLULU HI
96819-1217
US

V. Phone/Fax

Practice location:
  • Phone: 757-335-5539
  • Fax:
Mailing address:
  • Phone: 757-335-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1003-0705
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1158
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701010939
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC3472
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number71693
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005961
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-23641
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License NumberLPN070659
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: