Healthcare Provider Details

I. General information

NPI: 1962172353
Provider Name (Legal Business Name): SONGMEI CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 08/01/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 ALESHIRE AVE
SCHOFIELD BARRACKS HI
96857-2796
US

IV. Provider business mailing address

1300 HALONA ST
HONOLULU HI
96817-2796
US

V. Phone/Fax

Practice location:
  • Phone: 808-348-8073
  • Fax:
Mailing address:
  • Phone: 808-843-5312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number901
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: