Healthcare Provider Details

I. General information

NPI: 1649513458
Provider Name (Legal Business Name): BRITT ROMY YOUNG LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 08/21/2023
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W HIND DR STE 210
HONOLULU HI
96821-1845
US

IV. Provider business mailing address

1055 KALIHIWAI PL
HONOLULU HI
96825-1362
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-9648
  • Fax:
Mailing address:
  • Phone: 808-343-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number472
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: