Healthcare Provider Details

I. General information

NPI: 1336345180
Provider Name (Legal Business Name): KORI HOKULANI KUAANA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 631871 624 LLIMA AVENUE
LANAI CITY HI
96763-1871
US

IV. Provider business mailing address

PO BOX 631871 15 HOKUAO STREET
LANAI CITY HI
96763-1871
US

V. Phone/Fax

Practice location:
  • Phone: 808-563-3781
  • Fax: 541-416-2066
Mailing address:
  • Phone: 808-563-3781
  • Fax: 541-416-2066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1121
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-1121
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: