Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE KIYO TSUCHIYA IMANAKA, LCSW
Active Sole ProprietorCommunity/Behavioral Health · EWA BEACH, HI
Registration Details
- NPI Number
- 1568935989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2019 (7.3127622812132 yrs)
- Last Updated
- Dec 21, 2022
- Licenses
-
4342 (HI)4342 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
91-1841 FORT WEAVER RDEWA BEACH, HI, 967061909Browse HI providers · Browse ZIP 96706
- Phone
- 8087483146
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in EWA BEACH, HI
| Name | Credential | NPI |
|---|---|---|
| KYAH KUULEILANI CONRAD | — | 1821812611 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.