Healthcare Provider Details

I. General information

NPI: 1548172745
Provider Name (Legal Business Name): KARI MALIA CAROLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1296 KANEWAI ST
HONOLULU HI
96816-1716
US

IV. Provider business mailing address

1296 KANEWAI ST
HONOLULU HI
96816-1716
US

V. Phone/Fax

Practice location:
  • Phone: 808-500-8159
  • Fax:
Mailing address:
  • Phone: 808-500-8159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCP-85
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: