Healthcare Provider Details

I. General information

NPI: 1396673257
Provider Name (Legal Business Name): VICTORIA SADAME HARSTAD UYECHI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 KAAIPU AVE
HONOLULU HI
96822-1614
US

IV. Provider business mailing address

2716 KAAIPU AVE
HONOLULU HI
96822-1614
US

V. Phone/Fax

Practice location:
  • Phone: 808-450-4412
  • Fax:
Mailing address:
  • Phone: 808-450-4412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1211
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: