Healthcare Provider Details

I. General information

NPI: 1427709484
Provider Name (Legal Business Name): JOSEPH HAKIM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1002 LAHI ST
KAPOLEI HI
96707-3206
US

IV. Provider business mailing address

91-1002 LAHI ST
KAPOLEI HI
96707-3206
US

V. Phone/Fax

Practice location:
  • Phone: 808-451-9865
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC11292
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70094769
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-833
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: