Healthcare Provider Details

I. General information

NPI: 1407311301
Provider Name (Legal Business Name): CHRISTOPHER LYNN CARTER LMHC, CSAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1286 KALANI ST STE B204
HONOLULU HI
96817-4947
US

IV. Provider business mailing address

95-716 PAIKAUHALE ST
MILILANI HI
96789-2838
US

V. Phone/Fax

Practice location:
  • Phone: 808-723-5931
  • Fax:
Mailing address:
  • Phone: 808-723-5931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC-531
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMHC-531
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMHC-531
License Number StateHI
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-531
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: