Provider Demographics
NPI:1356372692
Name:CONTI, WILLIAM (BILL) EDWARD (PHD, LPC, MFT, CADC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM (BILL)
Middle Name:EDWARD
Last Name:CONTI
Suffix:
Gender:M
Credentials:PHD, LPC, MFT, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 KUHIO AVENUE
Mailing Address - Street 2:APT. 705
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-2329
Mailing Address - Country:US
Mailing Address - Phone:213-880-8262
Mailing Address - Fax:808-762-4618
Practice Address - Street 1:428 - A LAUNIU ST.
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2329
Practice Address - Country:US
Practice Address - Phone:213-880-8262
Practice Address - Fax:808-762-4618
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR06-R-02101YA0400X
ORC1894101YM0800X
CA46459106H00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR126370Medicaid