Healthcare Provider Details

I. General information

NPI: 1598807554
Provider Name (Legal Business Name): CRYSTAL SCURR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 KANEKAPOLEI ST APT 302
HONOLULU HI
96815-3033
US

IV. Provider business mailing address

441 KANEKAPOLEI ST APT 302
HONOLULU HI
96815-3033
US

V. Phone/Fax

Practice location:
  • Phone: 808-343-9049
  • Fax:
Mailing address:
  • Phone: 808-343-9049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1517-10
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number146
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT200001289
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number15203
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number003925
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number32925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: