Provider Demographics
NPI:1043824303
Name:HAWKINS, LAKEITHIA SHAVEICE (BLS, RHC-I, CCP)
Entity Type:Individual
Prefix:
First Name:LAKEITHIA
Middle Name:SHAVEICE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:BLS, RHC-I, CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 E RAINES RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-4533
Mailing Address - Country:US
Mailing Address - Phone:901-650-0083
Mailing Address - Fax:
Practice Address - Street 1:167 E RAINES RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-4533
Practice Address - Country:US
Practice Address - Phone:901-650-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker