Healthcare Provider Details

I. General information

NPI: 1114621638
Provider Name (Legal Business Name): DANA LUCIO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92-2045 KULIHI ST # HI
KAPOLEI HI
96707-3412
US

IV. Provider business mailing address

45-075 WAIKALUA RD UNIT J
KANEOHE HI
96744-6322
US

V. Phone/Fax

Practice location:
  • Phone: 808-483-0558
  • Fax:
Mailing address:
  • Phone: 808-483-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC-936-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: