Healthcare Provider Details

I. General information

NPI: 1619665502
Provider Name (Legal Business Name): KATHY MAE ANDREWS EDD, CRC, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAT ANDREWS EDD, CRC, NBCHWC

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

1110 NUUANU AVE # A1-5045
HONOLULU HI
96817-5119
US

V. Phone/Fax

Practice location:
  • Phone: 808-989-1050
  • Fax:
Mailing address:
  • Phone: 808-989-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number105791
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3687623
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: