Provider Demographics
NPI:1710179833
Name:CROWLEY, BETHANY C (LMFT)
Entity type:Individual
Prefix:MS
First Name:BETHANY
Middle Name:C
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LMFT
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 613
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-0613
Mailing Address - Country:US
Mailing Address - Phone:808-277-2273
Mailing Address - Fax:866-278-4162
Practice Address - Street 1:8 S KAINALU DR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2722
Practice Address - Country:US
Practice Address - Phone:808-277-2273
Practice Address - Fax:866-278-4162
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-166106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist