Healthcare Provider Details

I. General information

NPI: 1104293968
Provider Name (Legal Business Name): KELSI K YONTING LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 HOBRON LN PH 1
HONOLULU HI
96815-1231
US

IV. Provider business mailing address

95-383 LANIKUHANA AVE
MILILANI HI
96789-1869
US

V. Phone/Fax

Practice location:
  • Phone: 877-622-0013
  • Fax:
Mailing address:
  • Phone: 808-392-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT-674
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: