Provider Demographics
NPI:1578914917
Name:JONES, KY PHOENIX (LMHC)
Entity type:Individual
Prefix:
First Name:KY
Middle Name:PHOENIX
Last Name:JONES
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:KYLEE
Other - Middle Name:
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51-636 KAMEHAMEHA HWY APT 523
Mailing Address - Street 2:
Mailing Address - City:KAAAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96730-9827
Mailing Address - Country:US
Mailing Address - Phone:808-203-9609
Mailing Address - Fax:
Practice Address - Street 1:875 WAIMANU ST STE 612
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5267
Practice Address - Country:US
Practice Address - Phone:808-791-6713
Practice Address - Fax:808-791-6081
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health