Healthcare Provider Details

I. General information

NPI: 1386578086
Provider Name (Legal Business Name): HAWAII TELEHEALTH PSYCHOLOGICAL AND COACHING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST STE 2904
HONOLULU HI
96813-3312
US

IV. Provider business mailing address

1188 BISHOP ST STE 2904
HONOLULU HI
96813-3312
US

V. Phone/Fax

Practice location:
  • Phone: 419-544-3673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: KIRSTEN BUCKINGHAM
Title or Position: OWNER
Credential: PHD
Phone: 419-544-3673