Healthcare Provider Details

I. General information

NPI: 1174988810
Provider Name (Legal Business Name): MARYAM ARDEKANI CHAPMAN LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARYAM POORSHAKERI ARDEKANI

II. Dates (important events)

Enumeration Date: 12/23/2015
Last Update Date: 07/21/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 PIIKOI ST STE 203
HONOLULU HI
96814-3139
US

IV. Provider business mailing address

370 HALELOA PL APT H
HONOLULU HI
96821-2273
US

V. Phone/Fax

Practice location:
  • Phone: 808-589-1829
  • Fax: 808-589-2610
Mailing address:
  • Phone: 425-941-6308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC 60586807
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1135
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: