Healthcare Provider Details

I. General information

NPI: 1093179673
Provider Name (Legal Business Name): ROBERT OKIMURA JR. LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2016
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 KAMAKEE ST STE 310
HONOLULU HI
96814-4243
US

IV. Provider business mailing address

3354 E MANOA RD
HONOLULU HI
96822-1330
US

V. Phone/Fax

Practice location:
  • Phone: 808-596-4555
  • Fax:
Mailing address:
  • Phone: 808-721-5804
  • Fax: 808-988-9375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT466
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: