Provider Demographics
NPI:1871741827
Name:COLLINS, ANN YI-TING HSU (MFT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:YI-TING HSU
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 LAUMANIA RD
Mailing Address - Street 2:
Mailing Address - City:KULA
Mailing Address - State:HI
Mailing Address - Zip Code:96790-7526
Mailing Address - Country:US
Mailing Address - Phone:808-741-5668
Mailing Address - Fax:
Practice Address - Street 1:388 ANO ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3311
Practice Address - Country:US
Practice Address - Phone:808-741-5668
Practice Address - Fax:808-741-5668
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI340106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMFT-340OtherSTATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS