Provider Demographics
NPI:1023163680
Name:AKANA, CHEYENNE T (LCSW)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:T
Last Name:AKANA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240502
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96824-0502
Mailing Address - Country:US
Mailing Address - Phone:808-429-8226
Mailing Address - Fax:888-871-1150
Practice Address - Street 1:55 S KUKUI ST APT D715
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2345
Practice Address - Country:US
Practice Address - Phone:808-429-8226
Practice Address - Fax:888-871-1150
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-33071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000241273OtherHMSA