Healthcare Provider Details

I. General information

NPI: 1073011979
Provider Name (Legal Business Name): VICTORIA QUAID OBRIEN LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2018
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 PUALEI CIR APT 308
HONOLULU HI
96815-4940
US

IV. Provider business mailing address

3111 PUALEI CIR APT 308
HONOLULU HI
96815-4940
US

V. Phone/Fax

Practice location:
  • Phone: 808-707-9044
  • Fax:
Mailing address:
  • Phone: 808-707-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number478
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: