1760420301 NPI number — MS. SHERILYNN YAE EMILIANO LMHC

Table of content: MS. SHERILYNN YAE EMILIANO LMHC (NPI 1760420301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760420301 NPI number — MS. SHERILYNN YAE EMILIANO LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EMILIANO
Provider First Name:
SHERILYNN
Provider Middle Name:
YAE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760420301
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
970 N KALAHEO AVE
Provider Second Line Business Mailing Address:
SUITE A102
Provider Business Mailing Address City Name:
KAILUA
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96734-1866
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-254-6484
Provider Business Mailing Address Fax Number:
808-254-6427

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 N KALAHEO AVE
Provider Second Line Business Practice Location Address:
SUITE A102
Provider Business Practice Location Address City Name:
KAILUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96734-1866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-254-6484
Provider Business Practice Location Address Fax Number:
808-254-6427
Provider Enumeration Date:
06/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MHC 47 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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