Provider Demographics
NPI:1104396704
Name:HAWKINS, LAUREN MCKENZIE (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MCKENZIE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MCKENZIE
Other - Last Name:MONGONIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4709 AMBLE WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3997
Mailing Address - Country:US
Mailing Address - Phone:513-518-1394
Mailing Address - Fax:
Practice Address - Street 1:821 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2934
Practice Address - Country:US
Practice Address - Phone:940-437-4905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-27
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002643101YP2500X
TX88877101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional