Provider Demographics
NPI:1487315842
Name:OLAIVAR, NATASHA KN (MSCP, LMHC)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:KN
Last Name:OLAIVAR
Suffix:
Gender:F
Credentials:MSCP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-680 KAAUMANA PL
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1414
Mailing Address - Country:US
Mailing Address - Phone:808-630-3038
Mailing Address - Fax:
Practice Address - Street 1:41-680 KAAUMANA PL
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1414
Practice Address - Country:US
Practice Address - Phone:808-630-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-697101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health