IndividualActive
Anne Provax, MFT
NPI 1790964609 · Marriage & Family Therapist · Kailua Kona, HI
Provider details
- NPI number
- 1790964609
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- MFT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 150 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
75-127 Lunapule Rd
Suite 4a
Kailua Kona, HI 96740-2119
Phone: (808) 640-6133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 553
Honaunau, HI 96726-0553
Registry dates
- Enumerated
- 2007-10-26
- Last updated
- 2010-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.