=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528457215
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. BRITNEY ERIN YUMIKO KUNIHIRO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2015
-----------------------------------------------------
Last Update Date | 11/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 81-1045 KONAWAENA SCHOOL RD
-----------------------------------------------------
City | KEALAKEKUA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96750-8121
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-323-4566
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 75-5783 KAWENA ST
-----------------------------------------------------
City | KAILUA KONA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96740-2067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-557-7426
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MHC-1059
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------