Provider Demographics
NPI:1578618666
Name:SAPIENZA, ELISA (LMFT)
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:SAPIENZA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N KALAHEO AVE STE A214
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1857
Mailing Address - Country:US
Mailing Address - Phone:808-941-9648
Mailing Address - Fax:833-450-0919
Practice Address - Street 1:970 N KALAHEO AVE STE A214
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1857
Practice Address - Country:US
Practice Address - Phone:808-941-9648
Practice Address - Fax:833-450-0919
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0086421106H00000X
CAMFC 38437106H00000X
HIMFT797106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
567584OtherVALUE OPTIONS
NM545651000OtherMAGELLAN
NM00JN73OtherBLUE CROSS BLUE SHIELD
NM39776263Medicaid