Provider Demographics
NPI:1730616632
Name:PANUI, YUMI KIM (LCSW, CSAC)
Entity type:Individual
Prefix:
First Name:YUMI
Middle Name:KIM
Last Name:PANUI
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154TH WG HIANG
Mailing Address - Street 2:360 MAMALA BAY DR. BLDG. 3382, RM. 212
Mailing Address - City:JBPHH
Mailing Address - State:HI
Mailing Address - Zip Code:96853-5517
Mailing Address - Country:US
Mailing Address - Phone:808-448-8141
Mailing Address - Fax:
Practice Address - Street 1:154TH WG HIANG
Practice Address - Street 2:360 MAMALA BAY DR. BLDG. 3382, RM. 212
Practice Address - City:JBPHH
Practice Address - State:HI
Practice Address - Zip Code:96853-5517
Practice Address - Country:US
Practice Address - Phone:808-448-8141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1260-05101YA0400X
HI40971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)