Healthcare Provider Details

I. General information

NPI: 1205197860
Provider Name (Legal Business Name): ASHLEY LAFAYE LEOLANI USITA MA, LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ASHLEY LAFAYE LEOLANI MORRIS

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD STE 7400
HONOLULU HI
96813-4902
US

IV. Provider business mailing address

8300 ESTERS BLVD STE 900
IRVING TX
75063-2233
US

V. Phone/Fax

Practice location:
  • Phone: 415-424-4266
  • Fax: 415-520-6633
Mailing address:
  • Phone: 415-424-4266
  • Fax: 415-520-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701014391
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60723564
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-401
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number127100
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: