Provider Demographics
NPI:1164317913
Name:CLAXTON, ELIZABETH MIKEL (LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MIKEL
Last Name:CLAXTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KEPA RD
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-7948
Mailing Address - Country:US
Mailing Address - Phone:808-269-4661
Mailing Address - Fax:
Practice Address - Street 1:200 KEPA RD
Practice Address - Street 2:
Practice Address - City:KULA
Practice Address - State:HI
Practice Address - Zip Code:96790-7948
Practice Address - Country:US
Practice Address - Phone:808-269-4661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-1132101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health