Provider Demographics
NPI:1174988810
Name:CHAPMAN, MARYAM ARDEKANI (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:MARYAM
Middle Name:ARDEKANI
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MARYAM
Other - Middle Name:POORSHAKERI
Other - Last Name:ARDEKANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:370 HALELOA PL APT H
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2273
Mailing Address - Country:US
Mailing Address - Phone:425-941-6308
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3139
Practice Address - Country:US
Practice Address - Phone:808-589-1829
Practice Address - Fax:808-589-2610
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60586807101YM0800X
HI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health